Organization Name: | VA MEDICAL CENTER |
NPI Number: | 1124032420 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARCIA ELLEN LADD-SPEARS (STAFF NURSE) |
Mailing Address: | 34 W Waldo Rd Belfast |
State: | ME US |
Postal Code: | 049157640 |
Phone Number: | 2073386996 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 286500000X |
License Number: | R026610 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Military Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care facility operated by the Department of Defense. |