| NAME |
MEMPHIS SOUTH VA CLINIC |
| STATE |
TENNESSEE |
| STREET ADDR. 1 |
1689 NONCONNAH BLVD |
| CITY |
MEMPHIS |
| ZIP |
38132-2105 |
| OFFICIAL VA NAME |
NONCONNAH BOULEVARD VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
MEMPHIS VA CLINIC |
| ST. ADDR. 1 (MAILING) |
1689 NONCONNAH BLVD |
| CITY (MAILING) |
MEMPHIS |
| STATE (MAILING) |
TENNESSEE |
| ZIP (MAILING) |
38132-2105 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1003859588
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
614GF |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1003859588
-
- CODING SYSTEM: VASTANUM
- ID: 614GF
|
