WAKE COUNTY VA CLINIC (3590) INSTITUTION (4)

Name	Value
NAME	WAKE COUNTY VA CLINIC
STATE	NORTH CAROLINA
STREET ADDR. 1	3040 HAMMOND BUSINESS PLACE, #105
CITY	RALEIGH
ZIP	27603-3666
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 6 PARENT FACILITY PARENT OF ASSOCIATION: DURHAM VA MEDICAL CENTER
BILLING FACILITY NAME	WAKE COUNTY VA CBOC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1972910057
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	558GF
IDENTIFIER	CODING SYSTEM: CLIA ID: 34D201142