N EAST PHOENIX VA CLINIC (3887) INSTITUTION (4)

Name	Value
NAME	N EAST PHOENIX VA CLINIC
STATE	ARIZONA
STREET ADDR. 1	11390 EAST VIA LINDA RD, SUITE 105
CITY	SCOTTSDALE
ZIP	85259-4075
OFFICIAL VA NAME	N EAST PHOENIX VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 22 PARENT FACILITY PARENT OF ASSOCIATION: PHOENIX VAMC
BILLING FACILITY NAME	NORTHEAST PHOENIX VA CLINIC
EFFECTIVE DATE/TIME	2015-04-01 00:00:00 STATUS: ACTIVE NPI: 1265785364
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
TIMEZONE EXCEPTION	SST Only
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	644GG
IDENTIFIER	CODING SYSTEM: CLIA ID: 03D2094672