CHATTANOOGA VA CLINIC (1589)    INSTITUTION (4)

Name Value
NAME CHATTANOOGA VA CLINIC
STATE TENNESSEE
STREET ADDR. 1 6401 SHALLOWFORD RD
CITY CHATTANOOGA
ZIP 37421-5406
OFFICIAL VA NAME CHATTANOOGA VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CHATTANOOGA VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1144271776
  • 2008-03-20 00:00:00
    STATUS:   ACTIVE
    NPI:   1295903466
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 626GF
HISTORY
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1144271776
  • CODING SYSTEM:   VASTANUM
    ID:   626GF