GLADSTONE VA CLINIC (4454) INSTITUTION (4)

Name	Value
NAME	GLADSTONE VA CLINIC
STATE	MICHIGAN
STREET ADDR. 1	2001 MINNEAPOLIS AVE
CITY	GLADSTONE
ZIP	49837-2060
OFFICIAL VA NAME	GLADSTONE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 12 PARENT FACILITY PARENT OF ASSOCIATION: IRON MOUNTAIN VAMC
BILLING FACILITY NAME	GLADSTONE VA CLINIC
EFFECTIVE DATE/TIME	2020-05-03 00:00:00 STATUS: ACTIVE NPI: 1518588284
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	585GG