BEREA VA CLINIC (3722) INSTITUTION (4)

Name	Value
NAME	BEREA VA CLINIC
STATE	KENTUCKY
STREET ADDR. 1	209 PAULINE DRIVE
CITY	BEREA
ZIP	40403-8889
OFFICIAL VA NAME	BEREA VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 9 PARENT FACILITY PARENT OF ASSOCIATION: LEXINGTON VAMC-LEESTOWN
BILLING FACILITY NAME	BEREA VA CBOC
EFFECTIVE DATE/TIME	2009-01-05 00:00:00 STATUS: ACTIVE NPI: 1528205648
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	596GD