STONYBROOK VA CLINIC (2214) INSTITUTION (4)

Name	Value
NAME	STONYBROOK VA CLINIC
STATE	KENTUCKY
STREET ADDR. 1	9208 TAYLORSVILLE ROAD
CITY	LOUISVILLE
ZIP	40299-9998
OFFICIAL VA NAME	STONYBROOK VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 9 PARENT FACILITY PARENT OF ASSOCIATION: ROBLEY REX VAMC
BILLING FACILITY NAME	LOUISVILLE VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1518910025
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	603GD
IDENTIFIER	CODING SYSTEM: NPI ID: 1518910025 CODING SYSTEM: VASTANUM ID: 603GD