FEDERAL WAY VA CLINIC (4491) INSTITUTION (4)

Name	Value
NAME	FEDERAL WAY VA CLINIC
STATE	WASHINGTON
STREET ADDR. 1	34617 11TH PLACE SOUTH, SUITE 301
CITY	FEDERAL WAY
ZIP	98003-8706
OFFICIAL VA NAME	FEDERAL WAY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 20 PARENT FACILITY PARENT OF ASSOCIATION: SEATTLE VA MEDICAL CENTER
BILLING FACILITY NAME	FEDERAL WAY VA CLINIC
EFFECTIVE DATE/TIME	2021-04-19 00:00:00 STATUS: INACTIVE NPI: 1255981452
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	663GF