MCALESTER VA CLINIC (1581) INSTITUTION (4)

Name	Value
NAME	MCALESTER VA CLINIC
STATE	OKLAHOMA
STREET ADDR. 1	2 EAST CLARK BASS BOULEVARD
CITY	MCALESTER
ZIP	74501-4282
OFFICIAL VA NAME	MCALESTER VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: JACK C. MONTGOMERY VAMC
BILLING FACILITY NAME	MCALESTER VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1316999410
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	623GA
IDENTIFIER	CODING SYSTEM: NPI ID: 1316999410 CODING SYSTEM: VASTANUM ID: 623GA