WASHINGTON BOULEVARD VA CLINIC (3951) INSTITUTION (4)

Name	Value
NAME	WASHINGTON BOULEVARD VA CLINIC
STATE	MISSOURI
STREET ADDR. 1	515 N JEFFERSON AVE
CITY	ST. LOUIS
ZIP	63103-3000
OFFICIAL VA NAME	WASHINGTON BOULEVARD 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 4 VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1114317369
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	657QB