MADISON WEST VA CLINIC (3747) INSTITUTION (4)

Name	Value
NAME	MADISON WEST VA CLINIC
STATE	WISCONSIN
STREET ADDR. 1	1 SCIENCE COURT
CITY	MADISON
ZIP	53711-1055
OFFICIAL VA NAME	MADISON WEST VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 12 PARENT FACILITY PARENT OF ASSOCIATION: MADISON WEST VA CLINIC
BILLING FACILITY NAME	MADISON VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1023425089
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	607GG
IDENTIFIER	CODING SYSTEM: CLIA ID: 52D1088079