MADISONVILLE VA CLINIC (2246) INSTITUTION (4)

Name	Value
NAME	MADISONVILLE VA CLINIC
STATE	KENTUCKY
STREET ADDR. 1	99 STAGECOACH RD
CITY	MADISONVILLE
ZIP	42431-8009
OFFICIAL VA NAME	MADISONVILLE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 15 PARENT FACILITY PARENT OF ASSOCIATION: MARION IL VAMC
BILLING FACILITY NAME	MADISONVILLE VA CLINIC
EFFECTIVE DATE/TIME	2007-03-26 00:00:00 STATUS: ACTIVE NPI: 1578616892
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	657GO
IDENTIFIER	CODING SYSTEM: VASTANUM ID: 657GO CODING SYSTEM: CLIA ID: 18D1045068