MARSHALL COUNTY VA CLINIC (2130) INSTITUTION (4)

Name	Value
NAME	MARSHALL COUNTY VA CLINIC
STATE	MISSISSIPPI
STREET ADDR. 1	1700 CRESCENT MEADOWS
CITY	HOLLY SPRINGS
ZIP	38635-7417
OFFICIAL VA NAME	HOLLY SPRINGS VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 9 PARENT FACILITY PARENT OF ASSOCIATION: LT COL LUKE WEATHERS JR VAMC
BILLING FACILITY NAME	HOLLY SPRINGS VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1194778357
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	614GC
IDENTIFIER	CODING SYSTEM: NPI ID: 1194778357 CODING SYSTEM: VASTANUM ID: 614GC