PHOENIX 32ND STREET VA CLINIC (4482) INSTITUTION (4)

Name	Value
NAME	PHOENIX 32ND STREET VA CLINIC
STATE	ARIZONA
STREET ADDR. 1	400 N 32ND ST
CITY	PHOENIX
ZIP	85008-6205
OFFICIAL VA NAME	PHOENIX 32ND STREET VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 22 PARENT FACILITY PARENT OF ASSOCIATION: PHOENIX VAMC
BILLING FACILITY NAME	PHOENIX 3 VA CLINIC
EFFECTIVE DATE/TIME	2022-01-25 00:00:00 STATUS: ACTIVE NPI: 1508518820
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
TIMEZONE EXCEPTION	SST Only
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	644GI
IDENTIFIER	CODING SYSTEM: CLIA ID: 03D2261849