MESA VA CLINIC (4624) INSTITUTION (4)

Name	Value
NAME	MESA VA CLINIC
STATE	ARIZONA
STREET ADDR. 1	4135 S POWER RD STE 103
CITY	MESA
ZIP	85212-3625
OFFICIAL VA NAME	MESA VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 22 PARENT FACILITY PARENT OF ASSOCIATION: PHOENIX VAMC
BILLING FACILITY NAME	MESA VA CLINIC
EFFECTIVE DATE/TIME	2022-09-07 00:00:00 STATUS: ACTIVE NPI: 1295456358
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	644GJ
HISTORY