FREMONT VA CLINIC (3877) INSTITUTION (4)

Name	Value
NAME	FREMONT VA CLINIC
STATE	CALIFORNIA
STREET ADDR. 1	39199 LIBERTY ST
CITY	FREMONT
ZIP	94538-1501
OFFICIAL VA NAME	FREMONT VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 21 PARENT FACILITY PARENT OF ASSOCIATION: PALO ALTO VA MEDICAL CENTER
BILLING FACILITY NAME	FREMONT VA CBOC
ST. ADDR. 1 (MAILING)	39199 LIBERTY ST
CITY (MAILING)	FREMONT
STATE (MAILING)	CALIFORNIA
ZIP (MAILING)	94538-1501
EFFECTIVE DATE/TIME	2010-01-19 00:00:00 STATUS: ACTIVE NPI: 1043549215
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
STATION NUMBER	640GC