| NAME |
NORTH CHARLOTTE VA CLINIC |
| STATE |
NORTH CAROLINA |
| STREET ADDR. 1 |
8601 UNIVERSITY EAST DRIVE |
| CITY |
CHARLOTTE |
| ZIP |
28213-4353 |
| OFFICIAL VA NAME |
NORTH CHARLOTTE VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
CHARLOTTE VA CBOC |
| ST. ADDR. 1 (MAILING) |
8601 UNIVERSITY EAST DRIVE |
| CITY (MAILING) |
CHARLOTTE |
| STATE (MAILING) |
NORTH CAROLINA |
| ZIP (MAILING) |
28213-4353 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1477504280
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
659GA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1477504280
-
- CODING SYSTEM: VASTANUM
- ID: 659GA
-
- CODING SYSTEM: CLIA
- ID: 3D1073964
|
