WILMINGTON VA CLINIC (OH) (3523) INSTITUTION (4)

Name	Value
NAME	WILMINGTON VA CLINIC (OH)
STATE	OHIO
STREET ADDR. 1	448 WEST MAIN ST
CITY	WILMINGTON
ZIP	45177-2121
OFFICIAL VA NAME	WILMINGTON VA CLINIC (OH)
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: CHILLICOTHE VA MEDICAL CENTER
BILLING FACILITY NAME	WILMINGTON VA CBOC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1861809824
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	538GF
IDENTIFIER	CODING SYSTEM: CLIA ID: 36D2014660