WAYNE COUNTY VA CLINIC (4090) INSTITUTION (4)

Name	Value
NAME	WAYNE COUNTY VA CLINIC
STATE	PENNSYLVANIA
STREET ADDR. 1	600 MAPLE AVE STE 2
CITY	HONESDALE
ZIP	18431-1436
OFFICIAL VA NAME	WAYNE COUNTY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 4 PARENT FACILITY PARENT OF ASSOCIATION: WILKES-BARRE VAMC
BILLING FACILITY NAME	HONESDALE VA CLINIC
EFFECTIVE DATE/TIME	2014-08-18 00:00:00 STATUS: ACTIVE NPI: 1205209822
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	693QA