WASHINGTON AVENUE VA CLINIC (3945) INSTITUTION (4)

Name	Value
NAME	WASHINGTON AVENUE VA CLINIC
STATE	MISSOURI
STREET ADDR. 1	2727 WASHINGTON AVE
CITY	ST. LOUIS
ZIP	63103-1421
OFFICIAL VA NAME	WASHINGTON AVENUE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 15 PARENT FACILITY PARENT OF ASSOCIATION: ST. LOUIS MO VAMC-JC DIVISION
BILLING FACILITY NAME	ST. LOUIS COUNTY VA CBOC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1972910917
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	657GX