ZZ-VILLAGE GREEN VA CLINIC (3607)    INSTITUTION (4)

Name Value
NAME ZZ-VILLAGE GREEN VA CLINIC
STATE NORTH CAROLINA
STREET ADDR. 1 1991 FORDHAM DRIVE
CITY FAYETTEVILLE
ZIP 28304-3773
OFFICIAL VA NAME VILLAGE GREEN VA CLINIC
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME FAYETTEVILLE VA CLINIC
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1790192888
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 565GI