GOLDSBORO VA CLINIC (3604)    INSTITUTION (4)

Name Value
NAME GOLDSBORO VA CLINIC
STATE NORTH CAROLINA
STREET ADDR. 1 2610 HOSPITAL ROAD
CITY GOLDSBORO
ZIP 27534-9423
OFFICIAL VA NAME GOLDSBORO VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME GOLDSBORO VA CLINIC
EFFECTIVE DATE/TIME
  • 2013-02-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1306189451
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 565GF
IDENTIFIER
  • CODING SYSTEM:   CLIA
    ID:   34D2056247