PLENTYWOOD VA CLINIC (3369) INSTITUTION (4)

Name	Value
NAME	PLENTYWOOD VA CLINIC
STATE	MONTANA
STREET ADDR. 1	440 WEST LAUREL AVE
CITY	PLENTYWOOD
ZIP	59254-1526
OFFICIAL VA NAME	PLENTYWOOD VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: FORT HARRISON MEDICAL CENTER
BILLING FACILITY NAME	PLENTYWOOD VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1518355817
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
STATION NUMBER	436QB