DYERSBURG VA CLINIC (3768) INSTITUTION (4)

Name	Value
NAME	DYERSBURG VA CLINIC
STATE	TENNESSEE
STREET ADDR. 1	1067 VENDALL ROAD
CITY	DYERSBURG
ZIP	38024-1622
OFFICIAL VA NAME	DYERSBURG VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 9 PARENT FACILITY PARENT OF ASSOCIATION: LT COL LUKE WEATHERS JR VAMC
BILLING FACILITY NAME	DYERSBURG VA CLINIC
EFFECTIVE DATE/TIME	2009-08-01 00:00:00 STATUS: ACTIVE NPI: 1356572010
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	614GI