GULF COAST WEST VA MMU (4558)    INSTITUTION (4)

Name Value
NAME GULF COAST WEST VA MMU
STATE MISSISSIPPI
STREET ADDR. 1 400 VETERANS AVE
CITY BILOXI
ZIP 39531-2410
OFFICIAL VA NAME GULF COAST WEST VA MMU
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BILOXI VA MOBILE CLINIC
EFFECTIVE DATE/TIME
  • 2022-08-18 00:00:00
    STATUS:   ACTIVE
    NPI:   1457079519
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 520QB
HISTORY