COPPERAS COVE VA CLINIC (4655) INSTITUTION (4)

Name	Value
NAME	COPPERAS COVE VA CLINIC
STATE	TEXAS
STREET ADDR. 1	336 TOWN SQ
CITY	COPPERAS COVE
ZIP	76522-2800
OFFICIAL VA NAME	COPPERAS COVE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 17 PARENT FACILITY PARENT OF ASSOCIATION: OLIN E. TEAGUE VET CENTER
BILLING FACILITY NAME	COPPERAS COVE VA CLINIC
EFFECTIVE DATE/TIME	2022-10-04 00:00:00 STATUS: ACTIVE NPI: 1649995242
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	674GG
HISTORY
IDENTIFIER	CODING SYSTEM: CLIA ID: 45D2265820