GREEN ROAD VA CLINIC (4281) INSTITUTION (4)

Name	Value
NAME	GREEN ROAD VA CLINIC
STATE	MICHIGAN
STREET ADDR. 1	2500 GREEN ROAD, SUITE 200
CITY	ANN ARBOR
ZIP	48105-1573
OFFICIAL VA NAME	GREEN ROAD VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: ANN ARBOR VA MEDICAL CENTER
BILLING FACILITY NAME	ANN ARBOR 1 VA CLINIC
EFFECTIVE DATE/TIME	2017-11-13 00:00:00 STATUS: ACTIVE NPI: 1043722325
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	506QB