| NAME |
CLARKSVILLE VA CLINIC |
| STATE |
TENNESSEE |
| STREET ADDR. 1 |
782 WEATHERLY DRIVE |
| CITY |
CLARKSVILLE |
| ZIP |
37043-8941 |
| OFFICIAL VA NAME |
CLARKSVILLE VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
CLARKSVILLE VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1205888336
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
626GE |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1205888336
-
- CODING SYSTEM: VASTANUM
- ID: 626GE
-
- CODING SYSTEM: CLIA
- ID: 44D1001746
|
