LAWTON NORTH VA CLINIC (4475) INSTITUTION (4)

Name	Value
NAME	LAWTON NORTH VA CLINIC
STATE	OKLAHOMA
STREET ADDR. 1	2640 MINER ROAD, SUITE 2640
CITY	FORT SILL
ZIP	73503-8889
OFFICIAL VA NAME	LAWTON NORTH VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: OKLAHOMA CITY VAMC
BILLING FACILITY NAME	FORT SILL VA CLINIC
EFFECTIVE DATE/TIME	2020-04-01 00:00:00 STATUS: ACTIVE NPI: 1720615610
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	635QD
IDENTIFIER	CODING SYSTEM: CLIA ID: 37D2188882