VINCENNES IN CBOC (3939) INSTITUTION (4)

Name	Value
NAME	VINCENNES IN CBOC
STATE	INDIANA
STREET ADDR. 1	1813 WILLOW STREET SUITE 6A
CITY	VINCENNES
ZIP	47591-4279
OFFICIAL VA NAME	VINCENNES VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 15 PARENT FACILITY PARENT OF ASSOCIATION: MARION IL VAMC
BILLING FACILITY NAME	VINCENNES VA CLINIC
EFFECTIVE DATE/TIME	2008-09-29 00:00:00 STATUS: ACTIVE NPI: 1760631220
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	657GQ