GENE TAYLOR VA OPC (533) INSTITUTION (4)

Name	Value
NAME	GENE TAYLOR VA OPC
STATE	MISSOURI
STREET ADDR. 1	1850 WEST REPUBLIC ROAD
CITY	SPRINGFIELD
ZIP	65807-5730
OFFICIAL VA NAME	GENE TAYLOR VA OPC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 16 PARENT FACILITY PARENT OF ASSOCIATION: FAYETTEVILLE AR VAMC
BILLING FACILITY NAME	SPRINGFIELD VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1417900671
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	564BY
IDENTIFIER	CODING SYSTEM: NPI ID: 1417900671 CODING SYSTEM: VASTANUM ID: 564BY