CLARKSBURG VA MOBILE CLINIC (3537) INSTITUTION (4)

Name	Value
NAME	CLARKSBURG VA MOBILE CLINIC
STATE	WEST VIRGINIA
STREET ADDR. 1	1 MEDICAL CENTER DR
CITY	CLARKSBURG
ZIP	26301-4155
OFFICIAL VA NAME	CLARKSBURG VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 5 PARENT FACILITY PARENT OF ASSOCIATION: LOUIS A JOHNSON VAMC
BILLING FACILITY NAME	CLARKSBURG VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2008-11-10 00:00:00 STATUS: ACTIVE NPI: 1619342870
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	540HK