ZZ-ST. CLOUD VA MOBILE CLINIC (3936) INSTITUTION (4)

Name	Value
NAME	ZZ-ST. CLOUD VA MOBILE CLINIC
STATE	MINNESOTA
STREET ADDR. 1	4801 VETERANS DRIVE
CITY	ST. CLOUD
ZIP	56303-2015
OFFICIAL VA NAME	ZZ-ST. CLOUD VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: ST. CLOUD VA HCS
BILLING FACILITY NAME	ST. CLOUD VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: INACTIVE NPI: 1326438433
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	656QA