| NAME |
GREENVILLE VA CLINIC NC |
| STATE |
NORTH CAROLINA |
| STREET ADDR. 1 |
401 MOYE BLVD |
| CITY |
GREENVILLE |
| ZIP |
27834-3777 |
| OFFICIAL VA NAME |
GREENVILLE VA CLINIC NC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
GREENVILLE VA CBOC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1083669030
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
558GA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1083669030
-
- CODING SYSTEM: VASTANUM
- ID: 558GA
-
- CODING SYSTEM: CLIA
- ID: 34D1003789
|
