WAKEMAN VA CLINIC (3667) INSTITUTION (4)

Name	Value
NAME	WAKEMAN VA CLINIC
STATE	INDIANA
STREET ADDR. 1	3791 10TH STREET, BLDG 1010
CITY	EDINBURGH
ZIP	46124-9998
OFFICIAL VA NAME	WAKEMAN VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: RICHARD L. ROUDEBUSH VAMC
BILLING FACILITY NAME	EDINBURGH VA CLINIC
EFFECTIVE DATE/TIME	2016-02-01 00:00:00 STATUS: ACTIVE NPI: 1487008934
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	583GF