ZZ-ROCK ISLAND 2 VA CLINIC (3869) INSTITUTION (4)

Name	Value
NAME	ZZ-ROCK ISLAND 2 VA CLINIC
STATE	ILLINOIS
STREET ADDR. 1	211 19TH STREET
CITY	ROCK ISLAND
ZIP	61201-8028
OFFICIAL VA NAME	NINETEENTH STREET VA CLINIC
INACTIVE FACILITY FLAG	INACTIVE
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: VA NWIHS, OMAHA DIVISION
BILLING FACILITY NAME	NINETEENTH STREET VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1578953758
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	636QF