CLEARLAKE VA CLINIC (3974) INSTITUTION (4)

Name	Value
NAME	CLEARLAKE VA CLINIC
STATE	CALIFORNIA
STREET ADDR. 1	15145 LAKESHORE DR
CITY	CLEARLAKE
ZIP	95422-8106
OFFICIAL VA NAME	CLEARLAKE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 21 PARENT FACILITY PARENT OF ASSOCIATION: SAN FRANCISCO VAMC
BILLING FACILITY NAME	CLEARLAKE VA CBOC
EFFECTIVE DATE/TIME	2010-11-10 00:00:00 STATUS: ACTIVE NPI: 1689976094
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
STATION NUMBER	662GG