JACKSON VA MOBILE CLINIC (3675) INSTITUTION (4)

Name	Value
NAME	JACKSON VA MOBILE CLINIC
STATE	MISSISSIPPI
STREET ADDR. 1	1500 EAST WOODROW WILSON AVE
CITY	JACKSON
ZIP	39216-5116
OFFICIAL VA NAME	JACKSON VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 16 PARENT FACILITY PARENT OF ASSOCIATION: JACKSON VAMC
BILLING FACILITY NAME	JACKSON VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1922496280
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	586QA