CLINTON VA CLINIC (4471) INSTITUTION (4)

Name	Value
NAME	CLINTON VA CLINIC
STATE	OKLAHOMA
STREET ADDR. 1	315 WEST GARY BOULEVARD
CITY	CLINTON
ZIP	73601-2835
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: OKLAHOMA CITY VAMC
BILLING FACILITY NAME	CLINTON VA CLINIC
EFFECTIVE DATE/TIME	2020-01-06 00:00:00 STATUS: ACTIVE NPI: 1215572656
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	635GH
IDENTIFIER	CODING SYSTEM: CLIA ID: 37D2185763