ADRIAN VA CLINIC (4409) INSTITUTION (4)

Name	Value
NAME	ADRIAN VA CLINIC
STATE	MICHIGAN
STREET ADDR. 1	770 RIVERSIDE AVE # 1
CITY	ADRIAN
ZIP	49221-1476
OFFICIAL VA NAME	ADRIAN VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: ANN ARBOR VA MEDICAL CENTER
BILLING FACILITY NAME	ADRIAN VA CLINIC
EFFECTIVE DATE/TIME	2021-07-07 00:00:00 STATUS: ACTIVE NPI: 1629649801
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	506GF
IDENTIFIER	CODING SYSTEM: CLIA ID: 23D2241192