JACKSONVILLE 2 VA CLINIC-NC (3608) INSTITUTION (4)

Name	Value
NAME	JACKSONVILLE 2 VA CLINIC-NC
STATE	NORTH CAROLINA
STREET ADDR. 1	306 BRYNN MARR ROAD
CITY	JACKSONVILLE
ZIP	28546-7023
OFFICIAL VA NAME	JACKSONVILLE 2 VA CLINIC-NC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 6 PARENT FACILITY PARENT OF ASSOCIATION: FAYETTEVILLE CLC
BILLING FACILITY NAME	JACKSONVILLE VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1124422308
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	565GJ
IDENTIFIER	CODING SYSTEM: CLIA ID: 34D2084543