SELMA VA CLINIC (4058) INSTITUTION (4)

Name	Value
NAME	SELMA VA CLINIC
STATE	ALABAMA
STREET ADDR. 1	206 VAUGHN MEMORIAL DRIVE
CITY	SELMA
ZIP	36701-6949
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 7 PARENT FACILITY PARENT OF ASSOCIATION: TUSCALOOSA
BILLING FACILITY NAME	SELMA VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1871900829
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	679GA
IDENTIFIER	CODING SYSTEM: CLIA ID: 01D2057785