ROBESON STREET VA CLINIC (3616) INSTITUTION (4)

Name	Value
NAME	ROBESON STREET VA CLINIC
STATE	NORTH CAROLINA
STREET ADDR. 1	2301 ROBESON STREET
CITY	FAYETTEVILLE
ZIP	28305-5640
OFFICIAL VA NAME	ROBESON STREET VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 6 PARENT FACILITY PARENT OF ASSOCIATION: FAYETTEVILLE NC VAMC
BILLING FACILITY NAME	FAYETTEVILLE 2 VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1801294145
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	565QA
IDENTIFIER	CODING SYSTEM: CLIA ID: 34D2023383