FAYETTEVILLE VA CLINIC (3609) INSTITUTION (4)

Name	Value
NAME	FAYETTEVILLE VA CLINIC
STATE	NORTH CAROLINA
STREET ADDR. 1	2919 BREEZEWOOD AVE
CITY	FAYETTEVILLE
ZIP	28303-5501
OFFICIAL VA NAME	FAYETTEVILLE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 6 PARENT FACILITY PARENT OF ASSOCIATION: FAYETTEVILLE NC VAMC
BILLING FACILITY NAME	FAYETTEVILLE 1 VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1013311208
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	565GK