PACKARD ROAD VA CLINIC (3429) INSTITUTION (4)

Name	Value
NAME	PACKARD ROAD VA CLINIC
STATE	MICHIGAN
STREET ADDR. 1	3800 PACKARD ROAD, SUITE 120 AND 130
CITY	ANN ARBOR
ZIP	48108-2073
OFFICIAL VA NAME	PACKARD ROAD VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: ANN ARBOR VA MEDICAL CENTER
BILLING FACILITY NAME	ANN ARBOR VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1417345398
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	506QA