COLUMBUS VA MOBILE CLINIC (4116) INSTITUTION (4)

Name	Value
NAME	COLUMBUS VA MOBILE CLINIC
STATE	OHIO
STREET ADDR. 1	420 NORTH JAMES ROAD
CITY	COLUMBUS
ZIP	43219-1834
OFFICIAL VA NAME	COLUMBUS VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: CHALMERS P. WYLIE VETERANS OC
BILLING FACILITY NAME	COLUMBUS VA MOBILE OOS
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1902294895
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	757QA