HELENA VA CLINIC (3370)    INSTITUTION (4)

Name Value
NAME HELENA VA CLINIC
STATE ARKANSAS
STREET ADDR. 1 125 QUARLES LANE
CITY WEST HELENA
ZIP 72390-1923
OFFICIAL VA NAME HELENA VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME WEST HELENA VA CLINIC
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1801271127
  • 2009-07-30 00:00:00
    STATUS:   ACTIVE
    NPI:   1649401316
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 614GN
HISTORY
  • STREET ADDR. 1 (CHANGED FROM):   125 QUARLES LANE
    CITY (CHANGED FROM):   WEST HELENA
    STATE (CHANGED FROM):   ARKANSAS
    ZIP (CHANGED FROM):   72390-1923