ERIE WEST VA CLINIC (3495) INSTITUTION (4)

Name	Value
NAME	ERIE WEST VA CLINIC
STATE	NEW YORK
STREET ADDR. 1	620 ERIE BLVD WEST
CITY	SYRACUSE
ZIP	13204-2445
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 2 PARENT FACILITY PARENT OF ASSOCIATION: SYRACUSE VA MEDICAL CENTER
BILLING FACILITY NAME	ERIE WEST VA OOS
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1477951077
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	528QG