EAST LANCASTER VA CLINIC (3561) INSTITUTION (4)

Name	Value
NAME	EAST LANCASTER VA CLINIC
STATE	TEXAS
STREET ADDR. 1	101 NEW YORK AVE
CITY	FORT WORTH
ZIP	76104-1558
OFFICIAL VA NAME	EAST LANCASTER VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 17 PARENT FACILITY PARENT OF ASSOCIATION: DALLAS VA MEDICAL CENTER
BILLING FACILITY NAME	FORT WORTH 1 VA CLINIC
EFFECTIVE DATE/TIME	2015-07-01 00:00:00 STATUS: ACTIVE NPI: 1649645672 2021-10-01 00:00:00 STATUS: ACTIVE NPI: 1649645672
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	549QB