JONESBORO VA CLINIC (1545) INSTITUTION (4)

Name	Value
NAME	JONESBORO VA CLINIC
STATE	ARKANSAS
STREET ADDR. 1	1843 E HIGHLAND DR STE B
CITY	JONESBORO
ZIP	72401-6118
OFFICIAL VA NAME	JONESBORO VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 9 PARENT FACILITY PARENT OF ASSOCIATION: LT COL LUKE WEATHERS JR VAMC
BILLING FACILITY NAME	JONESBORO VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1619923398
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	614GB
IDENTIFIER	CODING SYSTEM: NPI ID: 1619923398 CODING SYSTEM: VASTANUM ID: 614GB