LAFAYETTE CAMPUS B VA CLINIC (3425) INSTITUTION (4)

Name	Value
NAME	LAFAYETTE CAMPUS B VA CLINIC
STATE	LOUISIANA
STREET ADDR. 1	309 SAINT JULIEN AVENUE SUITE 201
CITY	LAFAYETTE
ZIP	70506-4655
OFFICIAL VA NAME	LAFAYETTE CAMPUS B VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 16 PARENT FACILITY PARENT OF ASSOCIATION: ALEXANDRIA VA MEDICAL CENTER
BILLING FACILITY NAME	LAFAYETTE VA CLINIC
EFFECTIVE DATE/TIME	2016-02-01 00:00:00 STATUS: ACTIVE NPI: 1366896714
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	502QB