TAMPA 42ND ST VA CLINIC (4654) INSTITUTION (4)

Name	Value
NAME	TAMPA 42ND ST VA CLINIC
STATE	FLORIDA
STREET ADDR. 1	14530 N 42ND ST
CITY	TAMPA
ZIP	33613-2831
OFFICIAL VA NAME	TAMPA 42ND ST VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: TAMPA FL VAMC
BILLING FACILITY NAME	TAMPA 3 VA CLINIC
EFFECTIVE DATE/TIME	2024-07-09 00:00:00 STATUS: ACTIVE NPI: 1114763661
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	673QO
HISTORY