ZZ-REPUBLIC VA CLINIC (4002) INSTITUTION (4)

Name	Value
NAME	ZZ-REPUBLIC VA CLINIC
STATE	WASHINGTON
STREET ADDR. 1	10 ROS CIRCLE
CITY	REPUBLIC
ZIP	99166-5002
OFFICIAL VA NAME	REPUBLIC VA CLINIC
INACTIVE FACILITY FLAG	INACTIVE
STATUS	National
ASSOCIATIONS	PARENT FACILITY PARENT OF ASSOCIATION: MANN-GRANDSTAFF VAMC
BILLING FACILITY NAME	REPUBLIC VA OOS
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1245621317
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
STATION NUMBER	668QC