SAINT THOMAS VA MOBILE CLINIC (4647)    INSTITUTION (4)

Name Value
NAME SAINT THOMAS VA MOBILE CLINIC
STATE VIRGIN ISLANDS
STREET ADDR. 1 6304 ESTATE NAZARETH
CITY ST THOMAS
ZIP 00802-1102
OFFICIAL VA NAME SAINT THOMAS VA MOBILE CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME ST THOMAS 1 VA MOBILE CLINIC
EFFECTIVE DATE/TIME
  • 2023-10-03 00:00:00
    STATUS:   ACTIVE
    NPI:   1508646068
TAXONOMY CODE
LOCATION TIMEZONE ATLANTIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 672QF
HISTORY