JACKSONVILLE 2 VA CLINIC-FL (3643) INSTITUTION (4)

Name	Value
NAME	JACKSONVILLE 2 VA CLINIC-FL
STATE	FLORIDA
STREET ADDR. 1	3901 UNIVERSITY BLVD, SOUTH
CITY	JACKSONVILLE
ZIP	32216-4312
OFFICIAL VA NAME	JACKSONVILLE 2 VA CLINIC-FL
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: N. FLORIDA/S. GEORGIA HCS
BILLING FACILITY NAME	JACKSONVILLE 1 VA CLINIC
EFFECTIVE DATE/TIME	2015-08-17 00:00:00 STATUS: ACTIVE NPI: 1821464314
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	573QJ
IDENTIFIER	CODING SYSTEM: CLIA ID: 10D2100874