CENTURY AVENUE VA CLINIC (3455) INSTITUTION (4)

Name	Value
NAME	CENTURY AVENUE VA CLINIC
STATE	MICHIGAN
STREET ADDR. 1	620 CENTURY AVE, SOUTHWEST #120
CITY	GRAND RAPIDS
ZIP	49503-4977
OFFICIAL VA NAME	CENTURY AVENUE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: BATTLE CREEK VA MEDICAL CENTER
BILLING FACILITY NAME	CENTURY AVENUE VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1316335292
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	OTHER
POINTER TO AGENCY	OTHER
STATION NUMBER	515QB