GRANTS PASS VA CLINIC (4087) INSTITUTION (4)

Name	Value
NAME	GRANTS PASS VA CLINIC
STATE	OREGON
STREET ADDR. 1	1877 WILLIAMS HIGHWAY
CITY	GRANTS PASS
ZIP	97527-9998
OFFICIAL VA NAME	GRANTS PASS CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 20 PARENT FACILITY PARENT OF ASSOCIATION: WHITE CITY VA MEDICAL CENTER
BILLING FACILITY NAME	GRANTS PASS VA CLINIC
EFFECTIVE DATE/TIME	2012-10-04 00:00:00 STATUS: ACTIVE NPI: 1790038339
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	692GB