MONROEVILLE VA CLINIC (4625)    INSTITUTION (4)

Name Value
NAME MONROEVILLE VA CLINIC
STATE PENNSYLVANIA
STREET ADDR. 1 421 MALL CIRCLE DR
CITY MONROEVILLE
ZIP 15146-2207
OFFICIAL VA NAME MONROEVILLE VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MONROEVILLE VA CLINIC
EFFECTIVE DATE/TIME
  • 2023-05-09 00:00:00
    STATUS:   ACTIVE
    NPI:   1023708401
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 646GF
HISTORY
IDENTIFIER
  • CODING SYSTEM:   CLIA
    ID:   39D2280703