OLIVE STREET VA CLINIC (3950) INSTITUTION (4)

Name	Value
NAME	OLIVE STREET VA CLINIC
STATE	MISSOURI
STREET ADDR. 1	3615 OLIVE STREET
CITY	ST. LOUIS
ZIP	63108-3604
OFFICIAL VA NAME	OLIVE STREET 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 3 VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1396135513
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	657QA