EDMONDS VA CLINIC (4493) INSTITUTION (4)

Name	Value
NAME	EDMONDS VA CLINIC
STATE	WASHINGTON
STREET ADDR. 1	21616 76TH AVE W STE 112
CITY	EDMONDS
ZIP	98026-7512
OFFICIAL VA NAME	EDMONDS VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 20 PARENT FACILITY PARENT OF ASSOCIATION: SEATTLE VA MEDICAL CENTER
BILLING FACILITY NAME	EDMONDS VA CLINIC
EFFECTIVE DATE/TIME	2021-02-01 00:00:00 STATUS: ACTIVE NPI: 1437741618
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	663GH