# VA HOSPITAL - MARION, IN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720172174
- **Authorized official:** DR. ANTON N KOJOUHAROV M.D. (MEDICAL DOCTOR)
- **Authorized official phone:** (765) 674-3321

## Contact information

- **Practice address:** 1700 EAST 38 STREET, MARION, IN 46953
- **Practice address phone:** (888) 838-6446
- **Mailing address:** 979 E LAKEWOOD DR, ALEXANDRIA, IN 46001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QV0200X | VA Clinic/Center | 01035651 | IN | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/22/2020