SALEM VA MOBILE CLINIC (4628) INSTITUTION (4)

Name	Value
NAME	SALEM VA MOBILE CLINIC
STATE	VIRGINIA
STREET ADDR. 1	1970 ROANOKE BLVD
CITY	SALEM
ZIP	24153-6404
OFFICIAL VA NAME	SALEM VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 6 PARENT FACILITY PARENT OF ASSOCIATION: SALEM VA MEDICAL CENTER
BILLING FACILITY NAME	SALEM VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2023-09-27 00:00:00 STATUS: ACTIVE NPI: 1346029394
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	658QA
HISTORY