HIDDEN RIVER VA CLINIC (4026) INSTITUTION (4)

Name	Value
NAME	HIDDEN RIVER VA CLINIC
STATE	FLORIDA
STREET ADDR. 1	13515 LAKE TERRACE LANE
CITY	TAMPA
ZIP	33637-1003
OFFICIAL VA NAME	HIDDEN RIVER VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: TAMPA FL VAMC
BILLING FACILITY NAME	HIDDEN RIVER VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1609264951
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	673QJ