CINCINNATI 1 VA MOBILE CLINIC (4564) INSTITUTION (4)

Name	Value
NAME	CINCINNATI 1 VA MOBILE CLINIC
STATE	OHIO
STREET ADDR. 1	3200 VINE ST
CITY	CINCINNATI
ZIP	45220-2213
OFFICIAL VA NAME	CINCINNATI 1 VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: CINCINNATI
BILLING FACILITY NAME	CINCINNATI 1 VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2023-10-03 00:00:00 STATUS: ACTIVE NPI: 1174303630
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	539QE
HISTORY