
| Name | Value |
|---|---|
| NAME | PORT JERVIS |
| STATE | NEW YORK |
| STREET ADDR. 1 | 100 PIKE STREET |
| CITY | PORT JERVIS |
| ZIP | 12771-1831 |
| OFFICIAL VA NAME | PORT JERVIS |
| STATUS | National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME | PORT JERVIS VA CLINIC |
| EFFECTIVE DATE/TIME |
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE | EASTERN |
| COUNTRY | USA |
| AGENCY CODE | VA |
| POINTER TO AGENCY | VA |
| STATION NUMBER | 620GE |
| IDENTIFIER |
|