PHOENIX VA MOBILE CLINIC (4296) INSTITUTION (4)

Name	Value
NAME	PHOENIX VA MOBILE CLINIC
STATE	ARIZONA
STREET ADDR. 1	650 E. INDIAN SCHOOL ROAD
CITY	PHOENIX
ZIP	85012-1839
OFFICIAL VA NAME	PHOENIX VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 22 PARENT FACILITY PARENT OF ASSOCIATION: PHOENIX VAMC
BILLING FACILITY NAME	PHOENIX VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2017-10-01 00:00:00 STATUS: ACTIVE NPI: 1629582184
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
TIMEZONE EXCEPTION	SST Only
STATION NUMBER	644QB