DALTON DRIVE VA CLINIC (4469) INSTITUTION (4)

Name	Value
NAME	DALTON DRIVE VA CLINIC
STATE	TENNESSEE
STREET ADDR. 1	2292 DALTON DRIVE, SUITE F
CITY	CLARKSVILLE
ZIP	37043-8961
OFFICIAL VA NAME	DALTON DRIVE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 9 PARENT FACILITY PARENT OF ASSOCIATION: TENNESSEE VALLEY HCS
BILLING FACILITY NAME	CLARKSVILLE 1 VA CLINIC
EFFECTIVE DATE/TIME	2013-10-10 00:00:00 STATUS: ACTIVE NPI: 1073146627
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	626QF