OMAHA VA MOBILE CLINIC (4622) INSTITUTION (4)

Name	Value
NAME	OMAHA VA MOBILE CLINIC
STATE	NEBRASKA
STREET ADDR. 1	4101 WOOLWORTH AVE
CITY	OMAHA
ZIP	68105-1850
OFFICIAL VA NAME	OMAHA VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: VA NWIHS, OMAHA DIVISION
BILLING FACILITY NAME	OMAHA VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2023-09-27 00:00:00 STATUS: ACTIVE NPI: 1851170047
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	636QK
HISTORY