PALATKA VA CLINIC (3629) INSTITUTION (4)

Name	Value
NAME	PALATKA VA CLINIC
STATE	FLORIDA
STREET ADDR. 1	400 NORTH STATE ROAD 19 SUITE 48
CITY	PALATKA
ZIP	32177-2482
OFFICIAL VA NAME	PALATKA VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: N. FLORIDA/S. GEORGIA HCS
BILLING FACILITY NAME	PALATKA VA CBOC
EFFECTIVE DATE/TIME	2010-09-27 00:00:00 STATUS: ACTIVE NPI: 1508172628
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	573GL
IDENTIFIER	CODING SYSTEM: CLIA ID: 10D2013182