WEST HAVEN VA MOBILE CLINIC (4664) INSTITUTION (4)

Name	Value
NAME	WEST HAVEN VA MOBILE CLINIC
STATE	CONNECTICUT
STREET ADDR. 1	950 CAMPBELL AVE
CITY	WEST HAVEN
ZIP	06516-2770
OFFICIAL VA NAME	WEST HAVEN VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 1 PARENT FACILITY PARENT OF ASSOCIATION: CONNECTICUT HCS
BILLING FACILITY NAME	WEST HAVEN VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2023-09-27 00:00:00 STATUS: ACTIVE NPI: 1508645557
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	689QB
HISTORY