WESTSIDE PAVILION VA CLINIC (4044) INSTITUTION (4)

Name	Value
NAME	WESTSIDE PAVILION VA CLINIC
STATE	FLORIDA
STREET ADDR. 1	1821 BUSINESS PARK BLVD
CITY	DAYTONA BEACH
ZIP	32114-1230
OFFICIAL VA NAME	WESTSIDE PAVILION VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: ORLANDO VAMC
BILLING FACILITY NAME	WESTSIDE PAVILION VA OOS
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1245628387
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	675QC