The Spokane VA Medical Center is dedicated to providing quality health care services to veterans.  In carrying out this mission, the VAMC focuses on providing primary and secondary care, with emphasis on preventive health and chronic disease management.  The VAMC operates 46 hospital beds and 38 rehabilitation-oriented nursing home beds.  A mobile clinic, outfitted with two exam rooms, provides selected primary care services to veterans living in remote areas outside the metropolitan Spokane area.  Spokane is responsible for coordinating access to the full health care benefits package for enrolled veterans.  To this end, the VAMC coordinates referrals to the VA Puget Sound Health Care System and VAMC Portland for tertiary care, as well as utilizing community health care resources.  Sharing agreements exist with the 92nd Medical Group at Fairchild Air Force Base, Indian Health Services for Native Americans, and the Idaho and Washington State Departments of Veterans Affairs for the care of state home residents in Lewiston, ID, and Spokane.  The medical center also provides administrative support to the Veterans Outreach Center in Spokane at 100 N. Mullan Road, Suite 102.