SAN ANTONIO RANDOLPH VA CLINIC (4643) INSTITUTION (4)

Name	Value
NAME	SAN ANTONIO RANDOLPH VA CLINIC
STATE	TEXAS
STREET ADDR. 1	221 3RD ST W
CITY	RANDOLPH AFB
ZIP	78150-4800
OFFICIAL VA NAME	SAN ANTONIO RANDOLPH VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 17 PARENT FACILITY PARENT OF ASSOCIATION: AUDIE L. MURPHY MEMORIAL HOSP
BILLING FACILITY NAME	RANDOLPH AFB VA CLINIC
EFFECTIVE DATE/TIME	2023-11-16 00:00:00 STATUS: ACTIVE NPI: 1295500403
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	671QD
HISTORY