CLARE VA CLINIC (3927) INSTITUTION (4)

Name	Value
NAME	CLARE VA CLINIC
STATE	MICHIGAN
STREET ADDR. 1	11775 N. ISABELLA ROAD
CITY	CLARE
ZIP	48617-9186
OFFICIAL VA NAME	CLARE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: ALEDA E. LUTZ VAMC
BILLING FACILITY NAME	CLARE VA CBOC
EFFECTIVE DATE/TIME	2009-03-10 00:00:00 STATUS: ACTIVE NPI: 1649411265
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	655GE
IDENTIFIER	CODING SYSTEM: CLIA ID: 23D1099376