ATLANTA VA CBOC (1136) INSTITUTION (4)

Name	Value
NAME	ATLANTA VA CBOC
STATE	GEORGIA
STREET ADDR. 1	1701 HARDEE AVENUE SW
CITY	ATLANTA
ZIP	30310-5110
OFFICIAL VA NAME	ATLANTA VA CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 7 PARENT FACILITY PARENT OF ASSOCIATION: ATLANTA VAMC
BILLING FACILITY NAME	ATLANTA VA CLINIC
EFFECTIVE DATE/TIME	2007-03-26 00:00:00 STATUS: ACTIVE NPI: 1922164300
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	508GA
IDENTIFIER	CODING SYSTEM: VASTANUM ID: 508GA CODING SYSTEM: CLIA ID: 11D1001679