PINAL COUNTY VA CLINIC (4057) INSTITUTION (4)

Name	Value
NAME	PINAL COUNTY VA CLINIC
STATE	ARIZONA
STREET ADDR. 1	1179 E. COTTONWOOD LANE SUITE 1
CITY	CASA GRANDE
ZIP	85122-2969
OFFICIAL VA NAME	PINAL COUNTY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 22 PARENT FACILITY PARENT OF ASSOCIATION: SOUTHERN ARIZONA VA HCS
BILLING FACILITY NAME	CASA GRANDE 1 VA CLINIC
EFFECTIVE DATE/TIME	2011-08-01 00:00:00 STATUS: ACTIVE NPI: 1013457704
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
STATION NUMBER	678QB