AMERICAN LAKE VA MOBILE CLINIC (4634) INSTITUTION (4)

Name	Value
NAME	AMERICAN LAKE VA MOBILE CLINIC
STATE	WASHINGTON
STREET ADDR. 1	9600 VETERANS DR SW
CITY	TACOMA
ZIP	98493-0003
OFFICIAL VA NAME	AMERICAN LAKE VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 20 PARENT FACILITY PARENT OF ASSOCIATION: SEATTLE VA MEDICAL CENTER
BILLING FACILITY NAME	TACOMA 1 VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2023-09-26 00:00:00 STATUS: ACTIVE NPI: 1952181414
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	663QD
HISTORY