KERNERSVILLE VA CLINIC (353) INSTITUTION (4)

Name	Value
NAME	KERNERSVILLE VA CLINIC
STATE	NORTH CAROLINA
STREET ADDR. 1	1695 KERNERSVILLE MEDICAL PARKWAY
CITY	KERNERSVILLE
ZIP	27284-7159
OFFICIAL VA NAME	KERNERSVILLE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 6 PARENT FACILITY PARENT OF ASSOCIATION: W.G. HEFNER SALISBURY VAMC
BILLING FACILITY NAME	KERNERSVILLE VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1073557559
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	659BY
IDENTIFIER	CODING SYSTEM: NPI ID: 1073557559 CODING SYSTEM: VASTANUM ID: 659BY CODING SYSTEM: CLIA ID: 34D0987420