PRESCOTT VA CLINIC (3904) INSTITUTION (4)

Name	Value
NAME	PRESCOTT VA CLINIC
STATE	ARIZONA
STREET ADDR. 1	3623 EAST CROSSINGS DRIVE
CITY	PRESCOTT
ZIP	86305-7101
OFFICIAL VA NAME	PRESCOTT VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 22 PARENT FACILITY PARENT OF ASSOCIATION: NORTHERN ARIZONA HCS
BILLING FACILITY NAME	PRESCOTT VA OOS
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1265820567
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
TIMEZONE EXCEPTION	SST Only
STATION NUMBER	649QE