PALM BAY VA CLINIC (4504) INSTITUTION (4)

Name	Value
NAME	PALM BAY VA CLINIC
STATE	FLORIDA
STREET ADDR. 1	5200 BABCOCK STREET NE, SUITE 101
CITY	PALM BAY
ZIP	32905-4639
OFFICIAL VA NAME	PALM BAY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: ORLANDO VAMC
BILLING FACILITY NAME	PALM BAY VA CLINIC
EFFECTIVE DATE/TIME	2020-04-23 00:00:00 STATUS: ACTIVE NPI: 1831719715
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	675QG
IDENTIFIER	CODING SYSTEM: CLIA ID: 10D2185810