MONROE COUNTY VA CLINIC (3668) INSTITUTION (4)

Name	Value
NAME	MONROE COUNTY VA CLINIC
STATE	INDIANA
STREET ADDR. 1	1332 ARCH HAVEN AVE
CITY	BLOOMINGTON
ZIP	47403-2079
OFFICIAL VA NAME	MONROE COUNTY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: RICHARD L. ROUDEBUSH VAMC
BILLING FACILITY NAME	BLOOMINGTON 1 VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1790173078
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	583QA