CUMBERLAND COUNTY VA CLINIC-NC (3610) INSTITUTION (4)

Name	Value
NAME	CUMBERLAND COUNTY VA CLINIC-NC
STATE	NORTH CAROLINA
STREET ADDR. 1	7300 S. RAEFORD ROAD
CITY	FAYETTEVILLE
ZIP	28304-6162
OFFICIAL VA NAME	CUMBERLAND COUNTY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 6 PARENT FACILITY PARENT OF ASSOCIATION: FAYETTEVILLE NC VAMC
BILLING FACILITY NAME	FAYETTEVILLE 3 VA CLINIC
EFFECTIVE DATE/TIME	2015-09-15 00:00:00 STATUS: ACTIVE NPI: 1972974392
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	565GL
IDENTIFIER	CODING SYSTEM: CLIA ID: 34D2105697