CHESAPEAKE VA CLINIC (3702)    INSTITUTION (4)

Name Value
NAME CHESAPEAKE VA CLINIC
STATE VIRGINIA
STREET ADDR. 1 1987 SOUTH MILITARY HIGHWAY
CITY CHESAPEAKE
ZIP 23320-4422
OFFICIAL VA NAME CHESAPEAKE VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CHESAPEAKE VA CLINIC
EFFECTIVE DATE/TIME
  • 2015-09-15 00:00:00
    STATUS:   ACTIVE
    NPI:   1629448469
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 590GD
IDENTIFIER
  • CODING SYSTEM:   CLIA
    ID:   49D2102883