CEDAR CREST BLVD VA CLINIC (4667) INSTITUTION (4)

Name	Value
NAME	CEDAR CREST BLVD VA CLINIC
STATE	PENNSYLVANIA
STREET ADDR. 1	1605 N CEDAR CREST BLVD STE 410
CITY	ALLENTOWN
ZIP	18104-2323
OFFICIAL VA NAME	CEDAR CREST BLVD VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 4 PARENT FACILITY PARENT OF ASSOCIATION: WILKES-BARRE VAMC
BILLING FACILITY NAME	ALLENTOWN 1 VA CLINIC
EFFECTIVE DATE/TIME	2023-05-09 00:00:00 STATUS: ACTIVE NPI: 1275223661
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	693QB
HISTORY