COEUR D ALENE VA CLINIC (3998) INSTITUTION (4)

Name	Value
NAME	COEUR D ALENE VA CLINIC
STATE	IDAHO
STREET ADDR. 1	915 W. EMMA AVE
CITY	COEUR D'ALENE
ZIP	83814-2531
OFFICIAL VA NAME	COEUR D ALENE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 20 PARENT FACILITY PARENT OF ASSOCIATION: MANN-GRANDSTAFF VAMC
BILLING FACILITY NAME	COEUR D'ALENE VA CLINIC
EFFECTIVE DATE/TIME	2014-08-04 00:00:00 STATUS: ACTIVE NPI: 1609044478
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	668GB