DOGWOOD VIEW PARKWAY VA CLINIC (3676)    INSTITUTION (4)

Name Value
NAME DOGWOOD VIEW PARKWAY VA CLINIC
STATE MISSISSIPPI
STREET ADDR. 1 6522 DOGWOOD VIEW PARKWAY, SUITE F
CITY JACKSON
ZIP 39213-7858
OFFICIAL VA NAME DOGWOOD VIEW PARKWAY VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME JACKSON VA CLINIC
EFFECTIVE DATE/TIME
  • 2009-11-09 00:00:00
    STATUS:   ACTIVE
    NPI:   1407303050
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 586QB