GOOSE CREEK VA CLINIC (2245) INSTITUTION (4)

Name	Value
NAME	GOOSE CREEK VA CLINIC
STATE	SOUTH CAROLINA
STREET ADDR. 1	2418 NNPTC CIRCLE
CITY	GOOSE CREEK
ZIP	29445-9998
OFFICIAL VA NAME	GOOSE CREEK VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 7 PARENT FACILITY PARENT OF ASSOCIATION: CHARLESTON VAMC
BILLING FACILITY NAME	GOOSE CREEK VA CLINIC
EFFECTIVE DATE/TIME	2007-03-26 00:00:00 STATUS: ACTIVE NPI: 1235286741
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	534GD
IDENTIFIER	CODING SYSTEM: VASTANUM ID: 534GD CODING SYSTEM: CLIA ID: 42D2013174