WYANDOTTE COUNTY VA CLINIC (2041)    INSTITUTION (4)

Name Value
NAME WYANDOTTE COUNTY VA CLINIC
STATE KANSAS
STREET ADDR. 1 9201 PARALLEL PKWY
CITY Kansas City
ZIP 66112-1510
OFFICIAL VA NAME WYANDOTTE COUNTY VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME KANSAS CITY VA CLINIC
ST. ADDR. 1 (MAILING) 21 N. 12th St, Suit 110
CITY (MAILING) KANSAS CITY
STATE (MAILING) KANSAS
ZIP (MAILING) 66102-5161
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1326081845
  • 2022-01-03 00:00:00
    STATUS:   ACTIVE
    NPI:   1326081845
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 589GJ
HISTORY
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1326081845
  • CODING SYSTEM:   VASTANUM
    ID:   589GJ
  • CODING SYSTEM:   CLIA
    ID:   17D1018597