MILES CITY VA CLINIC (4399) INSTITUTION (4)

Name	Value
NAME	MILES CITY VA CLINIC
STATE	MONTANA
STREET ADDR. 1	316 S HAYNES AVE
CITY	MILES CITY
ZIP	59301-4764
OFFICIAL VA NAME	MILES CITY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: FORT HARRISON MEDICAL CENTER
BILLING FACILITY NAME	MILES CITY VA CLINIC
EFFECTIVE DATE/TIME	2021-08-25 00:00:00 STATUS: ACTIVE NPI: 1558038885
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	436QE
IDENTIFIER	CODING SYSTEM: CLIA ID: 27D2252942