HIGHWAY NINETEEN VA CLINIC (4021) INSTITUTION (4)

Name	Value
NAME	HIGHWAY NINETEEN VA CLINIC
STATE	FLORIDA
STREET ADDR. 1	7347 RIDGE RD
CITY	PORT RICHEY
ZIP	34668-6943
OFFICIAL VA NAME	HIGHWAY NINETEEN VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: TAMPA FL VAMC
BILLING FACILITY NAME	PORT RICHEY 1 VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1255729505
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	673QE