EL PASO SOUTH CENTRAL VA CLIN (4511) INSTITUTION (4)

Name	Value
NAME	EL PASO SOUTH CENTRAL VA CLIN
STATE	TEXAS
STREET ADDR. 1	350 REVERE STREET
CITY	EL PASO
ZIP	79905-9998
OFFICIAL VA NAME	EL PASO VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 17 PARENT FACILITY PARENT OF ASSOCIATION: EL PASO VA HCS
BILLING FACILITY NAME	EL PASO 1 VA CLINIC
EFFECTIVE DATE/TIME	2020-01-13 00:00:00 STATUS: ACTIVE NPI: 1902444607
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	756QA