SCHUYLKILL COUNTY VA CLINIC (3718) INSTITUTION (4)

Name	Value
NAME	SCHUYLKILL COUNTY VA CLINIC
STATE	PENNSYLVANIA
STREET ADDR. 1	1410 LAUREL BOULEVARD, SUITE 2
CITY	POTTSVILLE
ZIP	17901-1427
OFFICIAL VA NAME	SCHUYLKILL COUNTY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 4 PARENT FACILITY PARENT OF ASSOCIATION: LEBANON VA MEDICAL CENTER
BILLING FACILITY NAME	POTTSVILLE VA CLINIC
EFFECTIVE DATE/TIME	2008-07-01 00:00:00 STATUS: ACTIVE NPI: 1558558163
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	595GF