| NAME | 
WEST PALM BEACH VAMC | 
| STATE | 
FLORIDA | 
| STREET ADDR. 1 | 
7305 N. MILITARY TRAIL | 
| CITY | 
WEST PALM BEACH | 
| ZIP | 
33410-7417 | 
| OFFICIAL VA NAME | 
WEST PALM BEACH VAMC | 
| STATUS | 
National | 
| ASSOCIATIONS | 
 | 
| BILLING FACILITY NAME | 
WEST PALM BEACH VAMC | 
| ST. ADDR. 1 (MAILING) | 
7305 N. MILITARY TRAIL | 
| CITY (MAILING) | 
WEST PALM BEACH | 
| STATE (MAILING) | 
FLORIDA | 
| ZIP (MAILING) | 
33410-7417 | 
| EFFECTIVE DATE/TIME | 
- 
- 2007-01-08 00:00:00
 
- STATUS:    ACTIVE
 
- NPI:    1790734176
 
 
 
 | 
| TAXONOMY CODE | 
 | 
| LOCATION TIMEZONE | 
EASTERN | 
| COUNTRY | 
USA | 
| AGENCY CODE | 
VA | 
| POINTER TO AGENCY | 
VA | 
| STATION NUMBER | 
548 | 
| HISTORY | 
- 
- STREET ADDR. 1 (CHANGED FROM):    7305 N. MILITARY TRAIL
 
- STREET ADDR. 2 (CHANGED FROM):    P.O. Box 33207
 
- CITY (CHANGED FROM):    WEST PALM BEACH
 
- STATE (CHANGED FROM):    FLORIDA
 
- ZIP (CHANGED FROM):    33410-7417
 
 
 
 | 
| IDENTIFIER | 
- 
- CODING SYSTEM:    NPI
 
- ID:    1790734176
 
 
- 
- CODING SYSTEM:    VASTANUM
 
- ID:    548
 
 
- 
- CODING SYSTEM:    CLIA
 
- ID:    10D0987697
 
 
 
 |