PUYALLUP VA CLINIC (4495) INSTITUTION (4)

Name	Value
NAME	PUYALLUP VA CLINIC
STATE	WASHINGTON
STREET ADDR. 1	11216 SUNRISE BLVD E STE 209
CITY	PUYALLUP
ZIP	98374-8848
OFFICIAL VA NAME	PUYALLUP VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 20 PARENT FACILITY PARENT OF ASSOCIATION: SEATTLE VA MEDICAL CENTER
BILLING FACILITY NAME	PUYALLUP VA CLINIC
EFFECTIVE DATE/TIME	2021-10-14 00:00:00 STATUS: ACTIVE NPI: 1881286060
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	663GJ