ZZ-COLUMBIA PLACE VA CLINIC (3755) INSTITUTION (4)

Name	Value
NAME	ZZ-COLUMBIA PLACE VA CLINIC
STATE	INDIANA
STREET ADDR. 1	340 COLUMBIA PLACE
CITY	SOUTH BEND
ZIP	46601-2339
OFFICIAL VA NAME	COLUMBIA PLACE VA CLINIC
INACTIVE FACILITY FLAG	INACTIVE
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: MARION VA MEDICAL CENTER
BILLING FACILITY NAME	SOUTH BEND 1 VA CLINIC
EFFECTIVE DATE/TIME	2016-05-16 00:00:00 STATUS: INACTIVE NPI: 1508219858
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	610QB