| NAME |
ZZ-KNOXVILLE TN CBOC |
| STATE |
TENNESSEE |
| STREET ADDR. 1 |
9031 Cross Park Drive |
| CITY |
KNOXVILLE |
| ZIP |
37923 |
| OFFICIAL VA NAME |
KNOXVILLE VA OUTPATIENT CLINIC |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| ST. ADDR. 1 (MAILING) |
9031 CROSS PARK DRIVE |
| CITY (MAILING) |
KNOXVILLE |
| STATE (MAILING) |
TENNESSEE |
| ZIP (MAILING) |
37923 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1023065042
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
626BY |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1023065042
-
- CODING SYSTEM: VASTANUM
- ID: 626BY
-
- CODING SYSTEM: CLIA
- ID: 44D0987291
|
