YALE AVENUE VA CLINIC (4293) INSTITUTION (4)

Name	Value
NAME	YALE AVENUE VA CLINIC
STATE	OKLAHOMA
STREET ADDR. 1	5110 SOUTH YALE AVENUE, SUITE 200
CITY	TULSA
ZIP	74135-7475
OFFICIAL VA NAME	YALE AVENUE VA CLINIC
STATUS	National
ASSOCIATIONS	PARENT FACILITY PARENT OF ASSOCIATION: JACK C. MONTGOMERY VAMC
BILLING FACILITY NAME	TULSA 1 VA CLINIC
EFFECTIVE DATE/TIME	2018-05-21 00:00:00 STATUS: ACTIVE NPI: 1184116857
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	623QC