LITTLE ROCK VA MOBILE CLINIC (3729) INSTITUTION (4)

Name	Value
NAME	LITTLE ROCK VA MOBILE CLINIC
STATE	ARKANSAS
STREET ADDR. 1	4300 W. 7TH STREET
CITY	LITTLE ROCK
ZIP	72205-5446
OFFICIAL VA NAME	LITTLE ROCK VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 16 PARENT FACILITY PARENT OF ASSOCIATION: CENTRAL ARKANSAS HCS
BILLING FACILITY NAME	LITTLE ROCK VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1295120152
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	598QB