POLACCA VA CLINIC (3906) INSTITUTION (4)

Name	Value
NAME	POLACCA VA CLINIC
STATE	ARIZONA
STREET ADDR. 1	HIGHWAY 264 MILE POST 388
CITY	POLACCA
ZIP	86042-9998
OFFICIAL VA NAME	POLACCA VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 22 PARENT FACILITY PARENT OF ASSOCIATION: NORTHERN ARIZONA HCS
BILLING FACILITY NAME	POLACCA VA CLINIC
EFFECTIVE DATE/TIME	2015-06-30 00:00:00 STATUS: ACTIVE NPI: 1669857975
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
TIMEZONE EXCEPTION	SST Only
STATION NUMBER	649QG