SAINT CROIX VA MOBILE CLINIC (4648) INSTITUTION (4)

Name	Value
NAME	SAINT CROIX VA MOBILE CLINIC
STATE	VIRGIN ISLANDS
STREET ADDR. 1	9201 ESTATE SLOB
CITY	ST CROIX
ZIP	00820-9998
OFFICIAL VA NAME	SAINT CROIX VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: SAN JUAN VA MEDICAL CENTER
BILLING FACILITY NAME	ST CROIX VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2023-10-03 00:00:00 STATUS: ACTIVE NPI: 1124808688
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	ATLANTIC
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	672QG
HISTORY