KNIGHT STREET VA CLINIC (3996) INSTITUTION (4)

Name	Value
NAME	KNIGHT STREET VA CLINIC
STATE	LOUISIANA
STREET ADDR. 1	3000 KNIGHT ST, BLDG #5
CITY	SHREVEPORT
ZIP	71105-2502
OFFICIAL VA NAME	KNIGHT STREET VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 16 PARENT FACILITY PARENT OF ASSOCIATION: SHREVEPORT VAMC
BILLING FACILITY NAME	KNIGHT STREET VA OOS
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1639567993
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	667QA