ALBEMARLE VA CLINIC (3701)    INSTITUTION (4)

Name Value
NAME ALBEMARLE VA CLINIC
STATE NORTH CAROLINA
STREET ADDR. 1 1845 WEST CITY DRIVE
CITY ELIZABETH CITY
ZIP 27909-9998
OFFICIAL VA NAME ALBEMARLE VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME ELIZABETH CITY VA CLINIC
EFFECTIVE DATE/TIME
  • 2011-10-17 00:00:00
    STATUS:   ACTIVE
    NPI:   1174800585
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 590GC
IDENTIFIER
  • CODING SYSTEM:   CLIA
    ID:   34D2031330