SUNBRIDGE VA CLINIC (3601)    INSTITUTION (4)

Name Value
NAME SUNBRIDGE VA CLINIC
STATE ARKANSAS
STREET ADDR. 1 180 EAST SUNBRIDGE DRIVE
CITY FAYETTEVILLE
ZIP 72703-2830
OFFICIAL VA NAME SUNBRIDGE VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME SUNBRIDGE VA OOS
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1437547726
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 564QB