MATTOON VA CLINIC (3564) INSTITUTION (4)

Name	Value
NAME	MATTOON VA CLINIC
STATE	ILLINOIS
STREET ADDR. 1	501 LAKELAND BLVD
CITY	MATTOON
ZIP	61938-5283
OFFICIAL VA NAME	MATTOON VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 12 PARENT FACILITY PARENT OF ASSOCIATION: ILLIANA HCS
BILLING FACILITY NAME	MATTOON VA CLINIC
EFFECTIVE DATE/TIME	2009-09-01 00:00:00 STATUS: ACTIVE NPI: 1861725699
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	550GF