EASTERN OREGON VA CLINIC (3507) INSTITUTION (4)

Name	Value
NAME	EASTERN OREGON VA CLINIC
STATE	OREGON
STREET ADDR. 1	635 HIGHWAY 20 NORTH, STE 4
CITY	HINES
ZIP	97738-9462
OFFICIAL VA NAME	EASTERN OREGON VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 20 PARENT FACILITY PARENT OF ASSOCIATION: BOISE VA MEDICAL CENTER
BILLING FACILITY NAME	HINES VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1548677602
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	531GH
IDENTIFIER	CODING SYSTEM: CLIA ID: 38D2001320