MAHAN BOULEVARD VA CLINIC (3642) INSTITUTION (4)

Name	Value
NAME	MAHAN BOULEVARD VA CLINIC
STATE	FLORIDA
STREET ADDR. 1	1615 MAHAN BLVD
CITY	TALLAHASSEE
ZIP	32308-9998
OFFICIAL VA NAME	MAHAN BOULEVARD VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: N. FLORIDA/S. GEORGIA HCS
BILLING FACILITY NAME	MAHAN BOULEVARD VA OOS
EFFECTIVE DATE/TIME	2015-10-01 00:00:00 STATUS: ACTIVE NPI: 1861880098
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	573QI