HOMER VA CLINIC (3407) INSTITUTION (4)

Name	Value
NAME	HOMER VA CLINIC
STATE	ALASKA
STREET ADDR. 1	4141 PENNOCK ST
CITY	HOMER
ZIP	99603-7223
OFFICIAL VA NAME	HOMER VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 20 PARENT FACILITY PARENT OF ASSOCIATION: ANCHORAGE VA MEDICAL CENTER
BILLING FACILITY NAME	HOMER VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1427465582
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	ALASKA
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	463GD
IDENTIFIER	CODING SYSTEM: CLIA ID: 02D2245631