ROBESON COUNTY VA CLINIC (3603) INSTITUTION (4)

Name	Value
NAME	ROBESON COUNTY VA CLINIC
STATE	NORTH CAROLINA
STREET ADDR. 1	139 THREE HUNTS DRIVE
CITY	PEMBROKE
ZIP	28372-6800
OFFICIAL VA NAME	ROBESON COUNTY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 6 PARENT FACILITY PARENT OF ASSOCIATION: FAYETTEVILLE NC VAMC
BILLING FACILITY NAME	PEMBROKE VA CLINIC
EFFECTIVE DATE/TIME	2011-01-04 00:00:00 STATUS: ACTIVE NPI: 1912201146
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	565GE
IDENTIFIER	CODING SYSTEM: CLIA ID: 34D2023368