CHARLESTON VA CLINIC (534QC) (3520)    INSTITUTION (4)

Name Value
NAME CHARLESTON VA CLINIC (534QC)
STATE SOUTH CAROLINA
STREET ADDR. 1 2424 CITY HALL LANE
CITY NORTH CHARLESTON
ZIP 29406-9998
OFFICIAL VA NAME CHARLESTON VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME NORTH CHARLESTON 2 VA CLINIC
EFFECTIVE DATE/TIME
  • 2015-06-05 00:00:00
    STATUS:   ACTIVE
    NPI:   1083099444
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 534QC