JASPER VA CLINIC (1190) INSTITUTION (4)

Name	Value
NAME	JASPER VA CLINIC
STATE	ALABAMA
STREET ADDR. 1	1454 JONES DAIRY RD
CITY	JASPER
ZIP	35501-6164
OFFICIAL VA NAME	JASPER VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 7 PARENT FACILITY PARENT OF ASSOCIATION: BIRMINGHAM VAMC
BILLING FACILITY NAME	JASPER VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1891741294
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	521GF
IDENTIFIER	CODING SYSTEM: NPI ID: 1891741294 CODING SYSTEM: VASTANUM ID: 521GF CODING SYSTEM: CLIA ID: 01D1015344