The VA Central California Health Care System (VACCHCS) is part of the larger, VA Sierra Pacific Network (VISN 21), providing services to veterans.  (VACCHCS)  consists of one inpatient facility located in Fresno with outpatient clinics in Atwater, and Tulare, California.  These facilities provide some of the world’s finest medical care and cutting-edge technology.  Learn more about VA Central California Health Care System.