THE VILLAGES VA CLINIC (2237) INSTITUTION (4)

Name	Value
NAME	THE VILLAGES VA CLINIC
STATE	FLORIDA
STREET ADDR. 1	8900 SE 165TH MULBERRY LN
CITY	THE VILLAGES
ZIP	32162-5884
OFFICIAL VA NAME	THE VILLAGES VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: N. FLORIDA/S. GEORGIA HCS
BILLING FACILITY NAME	VILLAGES VA CLINIC
EFFECTIVE DATE/TIME	2007-03-26 00:00:00 STATUS: ACTIVE NPI: 1346397379
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	573GI
IDENTIFIER	CODING SYSTEM: VASTANUM ID: 573GI CODING SYSTEM: CLIA ID: 10D1044477