DODGE CITY VA CLINIC (2087) INSTITUTION (4)

Name	Value
NAME	DODGE CITY VA CLINIC
STATE	KANSAS
STREET ADDR. 1	2201 SUMMERLON CIR
CITY	DODGE CITY
ZIP	67801-2985
OFFICIAL VA NAME	DODGE CITY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 15 PARENT FACILITY PARENT OF ASSOCIATION: ROBERT J. DOLE VAMC
BILLING FACILITY NAME	DODGE CITY VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1891740361
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	589G2
HISTORY	EFFECTIVE DATE: 2001-10-01 00:00:00 REALIGNED FROM: ZZ DODGE CITY CBOC
IDENTIFIER	CODING SYSTEM: NPI ID: 1891740361 CODING SYSTEM: VASTANUM ID: 589G2