SOUTH SOUND VA CLINIC (3977) INSTITUTION (4)

Name	Value
NAME	SOUTH SOUND VA CLINIC
STATE	WASHINGTON
STREET ADDR. 1	151 NE HAMPE WAY
CITY	CHEHALIS
ZIP	98532-2403
OFFICIAL VA NAME	SOUTH SOUND VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 20 PARENT FACILITY PARENT OF ASSOCIATION: SEATTLE VA MEDICAL CENTER
BILLING FACILITY NAME	CHEHALIS VA CLINIC
EFFECTIVE DATE/TIME	2010-05-01 00:00:00 STATUS: ACTIVE NPI: 1346564614 2022-07-06 00:00:00 STATUS: INACTIVE NPI: 1346564614
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	663GD
IDENTIFIER	CODING SYSTEM: CLIA ID: 50D2007445