TAMPA 2 VA MOBILE CLINIC (4028) INSTITUTION (4)

Name	Value
NAME	TAMPA 2 VA MOBILE CLINIC
STATE	FLORIDA
STREET ADDR. 1	13000 BRUCE B DOWNS BLVD
CITY	TAMPA
ZIP	33612-4745
OFFICIAL VA NAME	TAMPA 2 VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: TAMPA FL VAMC
BILLING FACILITY NAME	TAMPA 2 VA MOBILE OOS
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1508264763
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	673QL