KIETZKE VA CLINIC (3922) INSTITUTION (4)

Name	Value
NAME	KIETZKE VA CLINIC
STATE	NEVADA
STREET ADDR. 1	2295 KIETZKE LANE
CITY	RENO
ZIP	89502-3604
OFFICIAL VA NAME	KIETZKE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 21 PARENT FACILITY PARENT OF ASSOCIATION: IOANNIS A. LOUGARIS VAMC
BILLING FACILITY NAME	RENO 1 VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1841681715
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
STATION NUMBER	654QA