HUMBLE VA CLINIC (4446) INSTITUTION (4)

Name	Value
NAME	HUMBLE VA CLINIC
STATE	TEXAS
STREET ADDR. 1	1485 FM 1960 BYPASS RD E STE 340
CITY	HUMBLE
ZIP	77338-3965
OFFICIAL VA NAME	HUMBLE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 16 PARENT FACILITY PARENT OF ASSOCIATION: HOUSTON VAMC
BILLING FACILITY NAME	HUMBLE VA CLINIC
EFFECTIVE DATE/TIME	2021-06-15 00:00:00 STATUS: ACTIVE NPI: 1801464714
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	580GK
IDENTIFIER	CODING SYSTEM: CLIA ID: 45D2211543