NEWARK VA CLINIC (231) INSTITUTION (4)

Name	Value
NAME	NEWARK VA CLINIC
STATE	NEW JERSEY
STREET ADDR. 1	20 WASHINGTON PLACE
CITY	NEWARK
ZIP	07102-3127
OFFICIAL VA NAME	NEWARK DTC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 2 PARENT FACILITY PARENT OF ASSOCIATION: EAST ORANGE-VA NEW JERSEY HCS
BILLING FACILITY NAME	NEWARK VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1053776385
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	561BY
IDENTIFIER	CODING SYSTEM: NPI ID: 1720025273 CODING SYSTEM: VASTANUM ID: 561BY