MCLAUGHLIN VA CLINIC (1421) INSTITUTION (4)

Name	Value
NAME	MCLAUGHLIN VA CLINIC
STATE	SOUTH DAKOTA
STREET ADDR. 1	220 E PRAIRIE RD
CITY	EAGLE BUTTE
ZIP	57625-9998
OFFICIAL VA NAME	MCLAUGHLIN VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: BLACK HILLS HCS
BILLING FACILITY NAME	EAGLE BUTTE VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1205870201
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	568HK
IDENTIFIER	CODING SYSTEM: NPI ID: 1205870201 CODING SYSTEM: VASTANUM ID: 568HK