WICHITA 1 VA MOBILE CLINIC (4587) INSTITUTION (4)

Name	Value
NAME	WICHITA 1 VA MOBILE CLINIC
STATE	KANSAS
STREET ADDR. 1	5500 E KELLOGG DR
CITY	WICHITA
ZIP	67218-1607
OFFICIAL VA NAME	WICHITA 1 VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 15 PARENT FACILITY PARENT OF ASSOCIATION: KANSAS CITY VAMC
BILLING FACILITY NAME	WICHITA 1 VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2023-10-01 00:00:00 STATUS: ACTIVE NPI: 1447039334
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	589QE
HISTORY