PANAMA CITY BEACH WEST VA CLIN (3474) INSTITUTION (4)

Name	Value
NAME	PANAMA CITY BEACH WEST VA CLIN
STATE	FLORIDA
STREET ADDR. 1	140 RICHARD JACKSON BLVD, SUITE 100
CITY	PANAMA CITY BEACH
ZIP	32407-2512
OFFICIAL VA NAME	PANAMA CITY BEACH WEST VA CLIN
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 16 PARENT FACILITY PARENT OF ASSOCIATION: BILOXI VAMC
BILLING FACILITY NAME	PANAMA CITY BEACH 1 VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1326436601
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	520QA