LITTLE ROCK 3 VA MOBILE CLINIC (4595) INSTITUTION (4)

Name	Value
NAME	LITTLE ROCK 3 VA MOBILE CLINIC
STATE	ARKANSAS
STREET ADDR. 1	4300 W 7TH ST
CITY	LITLE ROCK
ZIP	72205-5446
OFFICIAL VA NAME	LITTLE ROCK 3 VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 16 PARENT FACILITY PARENT OF ASSOCIATION: CENTRAL ARKANSAS HCS
BILLING FACILITY NAME	LITTLE ROCK 3 VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2023-10-02 00:00:00 STATUS: ACTIVE NPI: 1275313728
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	598QD
HISTORY