CHARLESTON VAMC (196)    INSTITUTION (4)

Name Value
NAME CHARLESTON VAMC
STATE SOUTH CAROLINA
STREET ADDR. 1 109 BEE STREET
CITY CHARLESTON
ZIP 29401-5799
OFFICIAL VA NAME RALPH H. JOHNSON VA MEDICAL CENTER (534)
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CHARLESTON VAMC
ST. ADDR. 1 (MAILING) 109 BEE STREET
CITY (MAILING) CHARLESTON
STATE (MAILING) SOUTH CAROLINA
ZIP (MAILING) 29401-5799
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1659320620
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 534
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1659320620
  • CODING SYSTEM:   VASTANUM
    ID:   534
  • CODING SYSTEM:   CLIA
    ID:   42D0987417