GAINESVILLE VA CLINIC (4582) INSTITUTION (4)

Name	Value
NAME	GAINESVILLE VA CLINIC
STATE	FLORIDA
STREET ADDR. 1	5469 SW 34th ST
CITY	GAINESVILLE
ZIP	32608-5032
OFFICIAL VA NAME	GAINESVILLE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: N. FLORIDA/S. GEORGIA HCS
BILLING FACILITY NAME	GAINESVILLE 7 VA CLINIC
EFFECTIVE DATE/TIME	2022-12-13 00:00:00 STATUS: ACTIVE NPI: 1952012072
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	573QL
HISTORY
IDENTIFIER	CODING SYSTEM: CLIA ID: 10D2274841