| NAME |
GREENVILLE VA CLINIC SC |
| STATE |
SOUTH CAROLINA |
| STREET ADDR. 1 |
41 PARK CREEK DRIVE |
| CITY |
GREENVILLE |
| ZIP |
29605-4270 |
| OFFICIAL VA NAME |
GREENVILLE VA CLINIC SC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
GREENVILLE VA CBOC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1104865211
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
544BZ |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1104865211
-
- CODING SYSTEM: VASTANUM
- ID: 544BZ
-
- CODING SYSTEM: CLIA
- ID: 42D1045975
|
