LAFAYETTE VA CLINIC (3666) INSTITUTION (4)

Name	Value
NAME	LAFAYETTE VA CLINIC
STATE	INDIANA
STREET ADDR. 1	940 PARK EAST BLVD
CITY	LAFAYETTE
ZIP	47905-9998
OFFICIAL VA NAME	LAFAYETTE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: RICHARD L. ROUDEBUSH VAMC
BILLING FACILITY NAME	LAFAYETTE VA CLINIC
EFFECTIVE DATE/TIME	2015-07-01 00:00:00 STATUS: ACTIVE NPI: 1639549470
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	583GE