KENT COUNTY VA CLINIC (3404) INSTITUTION (4)

Name	Value
NAME	KENT COUNTY VA CLINIC
STATE	DELAWARE
STREET ADDR. 1	655 S BAY RD STE 3C
CITY	DOVER
ZIP	19901-4659
OFFICIAL VA NAME	KENT COUNTY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 4 PARENT FACILITY PARENT OF ASSOCIATION: WILMINGTON VA MEDICAL CENTER
BILLING FACILITY NAME	DOVER VA CLINIC
EFFECTIVE DATE/TIME	2008-05-27 00:00:00 STATUS: ACTIVE NPI: 1336395136
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	460GC
IDENTIFIER	CODING SYSTEM: CLIA ID: 08D1105708