NORFOLK VA CLINIC (1653) INSTITUTION (4)

Name	Value
NAME	NORFOLK VA CLINIC
STATE	NEBRASKA
STREET ADDR. 1	3204 RAASCH DR
CITY	NORFOLK
ZIP	68701-3455
OFFICIAL VA NAME	NORFOLK CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: VA NWIHS, OMAHA DIVISION
BILLING FACILITY NAME	NORFOLK VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1184661639
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	636GA
IDENTIFIER	CODING SYSTEM: NPI ID: 1184661639 CODING SYSTEM: VASTANUM ID: 636GA