SOUTH OKLAHOMA CITY VA CLINIC (3844) INSTITUTION (4)

Name	Value
NAME	SOUTH OKLAHOMA CITY VA CLINIC
STATE	OKLAHOMA
STREET ADDR. 1	7919 MID-AMERICA BLVD, SUITE #300
CITY	OKLAHOMA CITY
ZIP	73135-6610
OFFICIAL VA NAME	SOUTH OKLAHOMA CITY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: OKLAHOMA CITY VAMC
BILLING FACILITY NAME	OKLAHOMA CITY VA CLINIC
EFFECTIVE DATE/TIME	2016-01-14 00:00:00 STATUS: ACTIVE NPI: 1699135079
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	635QB
IDENTIFIER	CODING SYSTEM: CLIA ID: 37D2107136