MONONGALIA COUNTY VA CLINIC (3536) INSTITUTION (4)

Name	Value
NAME	MONONGALIA COUNTY VA CLINIC
STATE	WEST VIRGINIA
STREET ADDR. 1	40 COMMERCE DR, SUITE 101
CITY	WESTOVER
ZIP	26501-3874
OFFICIAL VA NAME	MONONGALIA COUNTY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 5 PARENT FACILITY PARENT OF ASSOCIATION: LOUIS A JOHNSON VAMC
BILLING FACILITY NAME	WESTOVER VA CLINIC
EFFECTIVE DATE/TIME	2008-10-14 00:00:00 STATUS: ACTIVE NPI: 1972753655
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	540GD
IDENTIFIER	CODING SYSTEM: CLIA ID: 51D1107645