ZZ-STOCKTON CLINIC (1668) INSTITUTION (4)

Name	Value
NAME	ZZ-STOCKTON CLINIC
STATE	CALIFORNIA
STREET ADDR. 1	7777 SOUTH FREEDOM ROAD
CITY	FRENCH CAMP
ZIP	95231-9694
OFFICIAL VA NAME	PALO ALTO HEALTH CARE SYSTEM - STOCKTON DIVSION
INACTIVE FACILITY FLAG	INACTIVE
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 21 PARENT FACILITY PARENT OF ASSOCIATION: PALO ALTO VA MEDICAL CENTER
BILLING FACILITY NAME	FRENCH CAMP VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1881637254 2023-04-07 00:00:00 STATUS: INACTIVE NPI: 1881637254
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	640HA
HISTORY	EFFECTIVE DATE: 1995-04-01 00:00:00 REALIGNED FROM: ZZ STOCKTON ORC
IDENTIFIER	CODING SYSTEM: NPI ID: 1881637254 CODING SYSTEM: VASTANUM ID: 640HA CODING SYSTEM: CLIA ID: 05D1043398