MANCHESTER VA CLINIC (3946) INSTITUTION (4)

Name	Value
NAME	MANCHESTER VA CLINIC
STATE	MISSOURI
STREET ADDR. 1	4974 MANCHESTER AVE
CITY	ST. LOUIS
ZIP	63110-2010
OFFICIAL VA NAME	MANCHESTER 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 2 VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1235546276
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	657GY