| Organization Name: | VA MARYLAND HEALTH CARE SYSTEM |
| NPI Number: | 1043541279 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOYCE EDMONDSON (COMPLIANCE AND BUSINESS INTEGRITY) |
| Mailing Address: | 361 Boiler House Rd Va Medical Center Perry Point |
| State: | MD US |
| Postal Code: | 219021103 |
| Phone Number: | 4106422411 |
| Fax Number: | |
| NPI Enumeration Date: | 01/28/2010 |
| NPI Last Update Date: | 01/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QV0200X |
| License Number: | 14777 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | VA |
| Taxonomy Definition: | |