MANISTIQUE VA CLINIC (3671) INSTITUTION (4)

Name	Value
NAME	MANISTIQUE VA CLINIC
STATE	MICHIGAN
STREET ADDR. 1	813 EAST LAKESHORE DRIVE
CITY	MANISTIQUE
ZIP	49854-1683
OFFICIAL VA NAME	MANISTIQUE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 12 PARENT FACILITY PARENT OF ASSOCIATION: IRON MOUNTAIN VAMC
BILLING FACILITY NAME	MANISTIQUE VA CBOC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1114334174
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	585GF