RALEIGH VA CLINIC (2114)    INSTITUTION (4)

Name Value
NAME RALEIGH VA CLINIC
STATE NORTH CAROLINA
STREET ADDR. 1 3305 SUNGATE BLVD
CITY RALEIGH
ZIP 27610-2871
OFFICIAL VA NAME RALEIGH VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME RALEIGH VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1760420855
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 558GB
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1760420855
  • CODING SYSTEM:   VASTANUM
    ID:   558GB
  • CODING SYSTEM:   CLIA
    ID:   34D1012946