HOOSIER VA CLINIC (3752) INSTITUTION (4)

Name	Value
NAME	HOOSIER VA CLINIC
STATE	INDIANA
STREET ADDR. 1	1496 W HOOSIER BLVD
CITY	PERU
ZIP	46970-3727
OFFICIAL VA NAME	HOOSIER VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: MARION VA MEDICAL CENTER
BILLING FACILITY NAME	PERU VA CLINIC
EFFECTIVE DATE/TIME	2010-04-01 00:00:00 STATUS: ACTIVE NPI: 1558684829
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: NO STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	610GD