DAVENPORT VA CLINIC (3872) INSTITUTION (4)

Name	Value
NAME	DAVENPORT VA CLINIC
STATE	IOWA
STREET ADDR. 1	415 N. PERRY STREET
CITY	DAVENPORT
ZIP	52801-1617
OFFICIAL VA NAME	DAVENPORT VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: IOWA CITY HCS
BILLING FACILITY NAME	DAVENPORT VA CLINIC
EFFECTIVE DATE/TIME	2016-08-24 00:00:00 STATUS: ACTIVE NPI: 1063961670
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	636QI
IDENTIFIER	CODING SYSTEM: CLIA ID: 14D2068314