NORTH CHARLESTON VA CBOC (3514) INSTITUTION (4)

Name	Value
NAME	NORTH CHARLESTON VA CBOC
STATE	SOUTH CAROLINA
STREET ADDR. 1	6450 RIVERS AVE
CITY	NORTH CHARLESTON
ZIP	29406-9998
OFFICIAL VA NAME	NORTH CHARLESTON VA CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 7 PARENT FACILITY PARENT OF ASSOCIATION: CHARLESTON VAMC
BILLING FACILITY NAME	NORTH CHARLESTON VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1437566528
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	534GF
IDENTIFIER	CODING SYSTEM: CLIA ID: 42D2226449