EFFINGHAM VA CLINIC (2023) INSTITUTION (4)

Name	Value
NAME	EFFINGHAM VA CLINIC
STATE	ILLINOIS
STREET ADDR. 1	1011 FORD AVE
CITY	EFFINGHAM
ZIP	62401-9998
OFFICIAL VA NAME	EFFINGHAM VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 15 PARENT FACILITY PARENT OF ASSOCIATION: MARION IL VAMC
BILLING FACILITY NAME	EFFINGHAM VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1629021035
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	657GM
HISTORY	EFFECTIVE DATE: 2001-07-01 00:00:00 REALIGNED FROM: ZZ EFFINGHAM CBOC
IDENTIFIER	CODING SYSTEM: NPI ID: 1629021035 CODING SYSTEM: VASTANUM ID: 657GM