HOUSTON COUNTY VA CLINIC (3784) INSTITUTION (4)

Name	Value
NAME	HOUSTON COUNTY VA CLINIC
STATE	ALABAMA
STREET ADDR. 1	3753 ROSS CLARK CIRCLE, #4
CITY	DOTHAN
ZIP	36303-2291
OFFICIAL VA NAME	DOTHAN 2 VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 7 PARENT FACILITY PARENT OF ASSOCIATION: CENTRAL ALABAMA HCS
BILLING FACILITY NAME	DOTHAN 1 VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1518355650
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	619QA
IDENTIFIER	CODING SYSTEM: CLIA ID: 01D2158958