MACOMB VA CLINIC (3867) INSTITUTION (4)

Name	Value
NAME	MACOMB VA CLINIC
STATE	ILLINOIS
STREET ADDR. 1	1 UNIVERSITY CIRCLE
CITY	MACOMB
ZIP	61455-1367
OFFICIAL VA NAME	MACOMB VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: VA NWIHS, OMAHA DIVISION
BILLING FACILITY NAME	MACOMB VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1578953725
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	636QD