| NAME |
CHARLOTTE HALL VA CLINIC |
| STATE |
MARYLAND |
| STREET ADDR. 1 |
29640 THREE NOTCH RD |
| CITY |
CHARLOTTE HALL |
| ZIP |
20622-3108 |
| OFFICIAL VA NAME |
CHARLOTTE HALL VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
CHARLOTTE HALL VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1649218165
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
688GD |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1649218165
-
- CODING SYSTEM: VASTANUM
- ID: 688GD
-
- CODING SYSTEM: CLIA
- ID: 21D0987068
|
