PERRY VA CLINIC (3631) INSTITUTION (4)

Name	Value
NAME	PERRY VA CLINIC
STATE	FLORIDA
STREET ADDR. 1	1224 N. PEACOCK AVE
CITY	PERRY
ZIP	32347-2117
OFFICIAL VA NAME	PERRY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: N. FLORIDA/S. GEORGIA HCS
BILLING FACILITY NAME	PERRY VA CLINIC
EFFECTIVE DATE/TIME	2015-08-17 00:00:00 STATUS: ACTIVE NPI: 1376910968
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	573GN
IDENTIFIER	CODING SYSTEM: CLIA ID: 10D2099235