SOUTH PARKLANE VA CLINIC (3698)    INSTITUTION (4)

Name Value
NAME SOUTH PARKLANE VA CLINIC
STATE KANSAS
STREET ADDR. 1 935 SOUTH PARKLANE
CITY WICHITA
ZIP 67218-3210
OFFICIAL VA NAME SOUTH PARKLANE VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME WICHITA 1 VA CLINIC
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1649660861
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 589QC