BRIER CREEK VA CLINIC (3594)    INSTITUTION (4)

Name Value
NAME BRIER CREEK VA CLINIC
STATE NORTH CAROLINA
STREET ADDR. 1 8081 ARCO CORPORATE DR, #103
CITY RALEIGH
ZIP 27617-2041
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BRIER CREEK VA OOS
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1609274943
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 558QA
IDENTIFIER
  • CODING SYSTEM:   CLIA
    ID:   34D2019234