FAYETTEVILLE AR VAMC (235)    INSTITUTION (4)

Name Value
NAME FAYETTEVILLE AR VAMC
STATE ARKANSAS
STREET ADDR. 1 1100 N COLLEGE AVE.
CITY FAYETTEVILLE
ZIP 72703-1944
OFFICIAL VA NAME FAYETTEVILLE VA MEDICAL
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME FAYETTEVILLE VAMC
ST. ADDR. 1 (MAILING) 1100 N COLLEGE AVE.
CITY (MAILING) FAYETTEVILLE
STATE (MAILING) ARKANSAS
ZIP (MAILING) 72703-1944
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1003867326
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 564
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1003867326
  • CODING SYSTEM:   VASTANUM
    ID:   564
  • CODING SYSTEM:   CLIA
    ID:   04D0987295