MONTGOMERY VA MOBILE CLINIC (4608) INSTITUTION (4)

Name	Value
NAME	MONTGOMERY VA MOBILE CLINIC
STATE	ALABAMA
STREET ADDR. 1	215 PERRY HILL RD
CITY	MONTGOMERY
ZIP	36109-3725
OFFICIAL VA NAME	MONTGOMERY VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 7 PARENT FACILITY PARENT OF ASSOCIATION: CENTRAL ALABAMA HCS
BILLING FACILITY NAME	MONTGOMERY VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2023-09-26 00:00:00 STATUS: ACTIVE NPI: 1730968082
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	619QC
HISTORY