COATESVILLE (DOM) (657) INSTITUTION (4)

Name	Value
NAME	COATESVILLE (DOM)
STATE	PENNSYLVANIA
STREET ADDR. 1	1400 BLACKHORSE HILL ROAD, #04-C
CITY	COATESVILLE
ZIP	19320-2040
OFFICIAL VA NAME	COATESVILLE (DOM)
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 4 PARENT FACILITY PARENT OF ASSOCIATION: COATESVILLE VA MEDICAL CENTER
BILLING FACILITY NAME	COATESVILLE VA CARE SITE
EFFECTIVE DATE/TIME	2011-01-18 00:00:00 STATUS: ACTIVE NPI: 1043670516
TAXONOMY CODE	Residential Treatment Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	542BU
IDENTIFIER	CODING SYSTEM: VASTANUM ID: 542BU