OKLAHOMA CITY VA MOBILE CLINIC (4620) INSTITUTION (4)

Name	Value
NAME	OKLAHOMA CITY VA MOBILE CLINIC
STATE	OKLAHOMA
STREET ADDR. 1	921 NE 13TH ST
CITY	OKLAHOMA CITY
ZIP	73104-5007
OFFICIAL VA NAME	OKLAHOMA CITY VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: OKLAHOMA CITY VAMC
BILLING FACILITY NAME	OKLAHOMA CITY VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2023-09-27 00:00:00 STATUS: ACTIVE NPI: 1518746783
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	635QF
HISTORY