BARTLESVILLE VA CLINIC (4613) INSTITUTION (4)

Name	Value
NAME	BARTLESVILLE VA CLINIC
STATE	OKLAHOMA
STREET ADDR. 1	3005 E FRANK PHILLIPS BLVD STE 100
CITY	BARTLESVILLE
ZIP	74006-2116
OFFICIAL VA NAME	BARTLESVILLE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: JACK C. MONTGOMERY VAMC
BILLING FACILITY NAME	BARTLESVILLE VA CLINIC
EFFECTIVE DATE/TIME	2022-10-26 00:00:00 STATUS: ACTIVE NPI: 1922725969
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	623QD
HISTORY