NORTH SANTA ROSA VA CLINIC (4630) INSTITUTION (4)

Name	Value
NAME	NORTH SANTA ROSA VA CLINIC
STATE	CALIFORNIA
STREET ADDR. 1	3841 BRICKWAY BLVD
CITY	SANTA ROSA
ZIP	95403-8226
OFFICIAL VA NAME	NORTH SANTA ROSA VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 21 PARENT FACILITY PARENT OF ASSOCIATION: SAN FRANCISCO VAMC
BILLING FACILITY NAME	SANTA ROSA 1 VA CLINIC
EFFECTIVE DATE/TIME	2022-06-07 00:00:00 STATUS: ACTIVE NPI: 1033858766
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	662QB
HISTORY