FORT KENT VA CLINIC (3357) INSTITUTION (4)

Name	Value
NAME	FORT KENT VA CLINIC
STATE	MAINE
STREET ADDR. 1	197 EAST MAIN ST
CITY	FORT KENT
ZIP	04743-1409
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 1 PARENT FACILITY PARENT OF ASSOCIATION: VA MAINE HCS
BILLING FACILITY NAME	FORT KENT VA OOS
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1821496886
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	402QA