COLLEGE PARK VA CLINIC (4415) INSTITUTION (4)

Name	Value
NAME	COLLEGE PARK VA CLINIC
STATE	GEORGIA
STREET ADDR. 1	1800 PHOENIX BOULEVARD, SUITE 100
CITY	COLLEGE PARK
ZIP	30349-6055
OFFICIAL VA NAME	COLLEGE PARK VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 7 PARENT FACILITY PARENT OF ASSOCIATION: ATLANTA VAMC
BILLING FACILITY NAME	COLLEGE PARK VA CLINIC
EFFECTIVE DATE/TIME	2019-09-04 00:00:00 STATUS: ACTIVE NPI: 1811545130
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	508QH