PICKENS COUNTY VA CLINIC (4410) INSTITUTION (4)

Name	Value
NAME	PICKENS COUNTY VA CLINIC
STATE	GEORGIA
STREET ADDR. 1	934 EAST CHURCH ST
CITY	JASPER
ZIP	30143-1926
OFFICIAL VA NAME	PICKENS COUNTY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 7 PARENT FACILITY PARENT OF ASSOCIATION: ATLANTA VAMC
BILLING FACILITY NAME	JASPER VA CLINIC
EFFECTIVE DATE/TIME	2019-08-01 00:00:00 STATUS: ACTIVE NPI: 1962050286
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	508GM