MCCURTAIN COUNTY VA CLINIC (4292) INSTITUTION (4)

Name	Value
NAME	MCCURTAIN COUNTY VA CLINIC
STATE	OKLAHOMA
STREET ADDR. 1	903 SE WASHINGTON ST
CITY	IDABEL
ZIP	74745-3333
OFFICIAL VA NAME	MCCURTAIN COUNTY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: JACK C. MONTGOMERY VAMC
BILLING FACILITY NAME	IDABEL VA CLINIC
EFFECTIVE DATE/TIME	2017-07-31 00:00:00 STATUS: ACTIVE NPI: 1851815294
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	623GC