POPLAR BLUFF MO VAMC (1989) INSTITUTION (4)

Name	Value
NAME	POPLAR BLUFF MO VAMC
STATE	MISSOURI
STREET ADDR. 1	1500 N WESTWOOD BLVD
CITY	POPLAR BLUFF
ZIP	63901-3318
OFFICIAL VA NAME	JOHN PERSHING VAMC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 15 PARENT FACILITY PARENT OF ASSOCIATION: ST. LOUIS MO VAMC-JC DIVISION
BILLING FACILITY NAME	POPLAR BLUFF VAMC
ST. ADDR. 1 (MAILING)	1500 N WESTWOOD BLVD
CITY (MAILING)	POPLAR BLUFF
STATE (MAILING)	MISSOURI
ZIP (MAILING)	63901-3318
EFFECTIVE DATE/TIME	2007-03-24 00:00:00 STATUS: ACTIVE NPI: 1073563474
TAXONOMY CODE	Hospitals PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	657A4
HISTORY	EFFECTIVE DATE: 2001-04-01 00:00:00 REALIGNED FROM: ZZ POPLAR BLUFF VAMC
IDENTIFIER	CODING SYSTEM: VASTANUM ID: 657A4 CODING SYSTEM: CLIA ID: 26D0987314