LINCOLN CITY VA CLINIC (4483) INSTITUTION (4)

Name	Value
NAME	LINCOLN CITY VA CLINIC
STATE	OREGON
STREET ADDR. 1	4422 NORTHEAST DEVILS LAKE BLVD, SUITE 2
CITY	LINCOLN CITY
ZIP	97367-5000
OFFICIAL VA NAME	LINCOLN CITY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 20 PARENT FACILITY PARENT OF ASSOCIATION: PORTLAND VA MEDICAL CENTER
BILLING FACILITY NAME	LINCOLN CITY VA CLINIC
EFFECTIVE DATE/TIME	2015-06-20 00:00:00 STATUS: ACTIVE NPI: 1639722275
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	648GK