TOWNSHIP VA CLINIC (3600)    INSTITUTION (4)

Name Value
NAME TOWNSHIP VA CLINIC
STATE ARKANSAS
STREET ADDR. 1 216 EAST TOWNSHIP ST
CITY FAYETTEVILLE
ZIP 72703-2818
OFFICIAL VA NAME TOWNSHIP VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME TOWNSHIP VA OOS
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1528456811
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 564QA