COLUMBIA VA MOBILE CLINIC (3548)    INSTITUTION (4)

Name Value
NAME COLUMBIA VA MOBILE CLINIC
STATE SOUTH CAROLINA
STREET ADDR. 1 6439 GARNERS FERRY RD
CITY COLUMBIA
ZIP 29209-1638
OFFICIAL VA NAME COLUMBIA VA MOBILE CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME COLUMBIA VA MOBILE CLINIC
EFFECTIVE DATE/TIME
  • 2014-07-30 00:00:00
    STATUS:   ACTIVE
    NPI:   1053786228
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 544HK