SEATTLE 1 VA CLINIC (4496) INSTITUTION (4)

Name	Value
NAME	SEATTLE 1 VA CLINIC
STATE	WASHINGTON
STREET ADDR. 1	305 S LUCILE ST STE 103
CITY	SEATTLE
ZIP	98108-2435
OFFICIAL VA NAME	SEATTLE 1 VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 20 PARENT FACILITY PARENT OF ASSOCIATION: SEATTLE VA MEDICAL CENTER
BILLING FACILITY NAME	SEATTLE 1 VA CLINIC
EFFECTIVE DATE/TIME	2021-06-20 00:00:00 STATUS: ACTIVE NPI: 1063081420
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	663QB