JOHNSON CITY VA CLINIC (4466) INSTITUTION (4)

Name	Value
NAME	JOHNSON CITY VA CLINIC
STATE	TENNESSEE
STREET ADDR. 1	500 WASHINGTON AVE
CITY	JOHNSON CITY
ZIP	37604-5518
OFFICIAL VA NAME	JOHNSON CITY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 9 PARENT FACILITY PARENT OF ASSOCIATION: JAMES H. QUILLEN VAMC
BILLING FACILITY NAME	JOHNSON CITY VA CLINIC
EFFECTIVE DATE/TIME	2020-02-03 00:00:00 STATUS: ACTIVE NPI: 1982236907
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	621QF