KILLEEN VA CLINIC (4656) INSTITUTION (4)

Name	Value
NAME	KILLEEN VA CLINIC
STATE	TEXAS
STREET ADDR. 1	1001 E VETERANS MEMORIAL BLVD STE 400
CITY	KILLEEN
ZIP	76541-7292
OFFICIAL VA NAME	KILLEEN VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 17 PARENT FACILITY PARENT OF ASSOCIATION: OLIN E. TEAGUE VET CENTER
BILLING FACILITY NAME	KILLEEN VA CLINIC
EFFECTIVE DATE/TIME	2022-10-04 00:00:00 STATUS: ACTIVE NPI: 1003531609
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	674GH
HISTORY
IDENTIFIER	CODING SYSTEM: CLIA ID: 45D2267807