TAZEWELL VA CLINIC (1726) INSTITUTION (4)

Name	Value
NAME	TAZEWELL VA CLINIC
STATE	VIRGINIA
STREET ADDR. 1	388 BEN BOLT AVENUE
CITY	TAZEWELL
ZIP	24651-5386
OFFICIAL VA NAME	TAZEWELL VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 6 PARENT FACILITY PARENT OF ASSOCIATION: SALEM VA MEDICAL CENTER
BILLING FACILITY NAME	TAZEWELL VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1124067012
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	658GA
IDENTIFIER	CODING SYSTEM: NPI ID: 1124067012 CODING SYSTEM: VASTANUM ID: 658GA