SALMON VA CLINIC (3509) INSTITUTION (4)

Name	Value
NAME	SALMON VA CLINIC
STATE	IDAHO
STREET ADDR. 1	705 LENA STREET
CITY	SALMON
ZIP	83467-4208
OFFICIAL VA NAME	SALMON VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 20 PARENT FACILITY PARENT OF ASSOCIATION: BOISE VA MEDICAL CENTER
BILLING FACILITY NAME	SALMON VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1750798815
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
STATION NUMBER	531GJ
IDENTIFIER	CODING SYSTEM: CLIA ID: 13D2029759