VINE STREET VA CLINIC (4420) INSTITUTION (4)

Name	Value
NAME	VINE STREET VA CLINIC
STATE	OHIO
STREET ADDR. 1	909 VINE STREET
CITY	CINCINNATI
ZIP	45202-1105
OFFICIAL VA NAME	VINE STREET VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: CINCINNATI
BILLING FACILITY NAME	CINCINNATI VA CLINIC
EFFECTIVE DATE/TIME	2018-05-01 00:00:00 STATUS: ACTIVE NPI: 1629559539
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	539QC