TAYLOR VA CLINIC (4615) INSTITUTION (4)

Name	Value
NAME	TAYLOR VA CLINIC
STATE	KENTUCKY
STREET ADDR. 1	5580 DESERT STORM AVE
CITY	FORT CAMPBELL
ZIP	42223-5586
OFFICIAL VA NAME	TAYLOR VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 9 PARENT FACILITY PARENT OF ASSOCIATION: TENNESSEE VALLEY HCS
BILLING FACILITY NAME	FORT CAMPBELL 3 VA CLINIC
EFFECTIVE DATE/TIME	2024-03-17 00:00:00 STATUS: ACTIVE NPI: 1801655295
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	626QG
HISTORY