CANTON VA CLINIC (4408) INSTITUTION (4)

Name	Value
NAME	CANTON VA CLINIC
STATE	MICHIGAN
STREET ADDR. 1	5900 N LOTZ RD
CITY	CANTON
ZIP	48187-4331
OFFICIAL VA NAME	CANTON VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: ANN ARBOR VA MEDICAL CENTER
BILLING FACILITY NAME	CANTON VA CLINIC
EFFECTIVE DATE/TIME	2021-08-30 00:00:00 STATUS: ACTIVE NPI: 1811651466
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	506GD
IDENTIFIER	CODING SYSTEM: CLIA ID: 23D2241233