YUKON VA CLINIC (4473) INSTITUTION (4)

Name	Value
NAME	YUKON VA CLINIC
STATE	OKLAHOMA
STREET ADDR. 1	1808 COMMONS CIR STE B
CITY	YUKON
ZIP	73099-9518
OFFICIAL VA NAME	YUKON VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: OKLAHOMA CITY VAMC
BILLING FACILITY NAME	YUKON VA CLINIC
EFFECTIVE DATE/TIME	2020-08-31 00:00:00 STATUS: ACTIVE NPI: 1376157065
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	635GJ
IDENTIFIER	CODING SYSTEM: CLIA ID: 37D2204150