CLAREMORE VA CLINIC (4612) INSTITUTION (4)

Name	Value
NAME	CLAREMORE VA CLINIC
STATE	OKLAHOMA
STREET ADDR. 1	3000 MEDICAL PKWY
CITY	CLAREMORE
ZIP	74017-1082
OFFICIAL VA NAME	CLAREMORE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: JACK C. MONTGOMERY VAMC
BILLING FACILITY NAME	CLAREMORE VA CLINIC
EFFECTIVE DATE/TIME	2023-07-18 00:00:00 STATUS: ACTIVE NPI: 1184303976
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	623GD
HISTORY