RALEIGH III VA CLINIC (3591)    INSTITUTION (4)

Name Value
NAME RALEIGH III VA CLINIC
STATE NORTH CAROLINA
STREET ADDR. 1 2600 ATLANTIC AVE, #200
CITY RALEIGH
ZIP 27604-1502
OFFICIAL VA NAME RALEIGH III VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME RALEIGH 1 VA CLINIC
EFFECTIVE DATE/TIME
  • 2015-09-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1124475892
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 558GG
IDENTIFIER
  • CODING SYSTEM:   CLIA
    ID:   34D2120920