FORT DODGE NORTH VA CLINIC (4295) INSTITUTION (4)

Name	Value
NAME	FORT DODGE NORTH VA CLINIC
STATE	IOWA
STREET ADDR. 1	102 N. 25TH STREET
CITY	FORT DODGE
ZIP	50501-4338
OFFICIAL VA NAME	FORT DODGE NORTH VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: VA NWIHS, OMAHA DIVISION
BILLING FACILITY NAME	FORT DODGE 1 VA CLINIC
EFFECTIVE DATE/TIME	2017-05-04 00:00:00 STATUS: ACTIVE NPI: 1548772817 2023-10-26 00:00:00 STATUS: INACTIVE NPI: 1548772817
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	636GX