OLEAN VA CLINIC (886) INSTITUTION (4)

Name	Value
NAME	OLEAN VA CLINIC
STATE	NEW YORK
STREET ADDR. 1	465 N UNION ST
CITY	OLEAN
ZIP	14760-2658
OFFICIAL VA NAME	OLEAN VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 2 PARENT FACILITY PARENT OF ASSOCIATION: UPSTATE NEW YORK HCS
BILLING FACILITY NAME	OLEAN VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1821035270
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	528GR
HISTORY	STREET ADDR. 1 (CHANGED FROM): 465 NORTH UNTION STREET CITY (CHANGED FROM): OLEAN STATE (CHANGED FROM): NEW YORK ZIP (CHANGED FROM): 14760-1921
IDENTIFIER	CODING SYSTEM: NPI ID: 1821035270 CODING SYSTEM: VASTANUM ID: 528GR CODING SYSTEM: CLIA ID: 33D2032439