PACKARD VA CLINIC (3490) INSTITUTION (4)

Name	Value
NAME	PACKARD VA CLINIC
STATE	NEW YORK
STREET ADDR. 1	1325 MAIN STREET
CITY	BUFFALO
ZIP	14209-1988
OFFICIAL VA NAME	PACKARD VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 2 PARENT FACILITY PARENT OF ASSOCIATION: UPSTATE NEW YORK HCS
BILLING FACILITY NAME	BUFFALO 1 VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1932507530
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	528QB