| NAME |
UNION AVENUE VA CLINIC |
| STATE |
TENNESSEE |
| STREET ADDR. 1 |
575 PHELAN AVE |
| CITY |
MEMPHIS |
| ZIP |
38126-4005 |
| OFFICIAL VA NAME |
UNION AVENUE VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
MEMPHIS 1 VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2023-06-20 00:00:00
- STATUS: ACTIVE
- NPI: 1326436452
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
614QA |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 1407 UNION AVE, 11TH FLOOR
- CITY (CHANGED FROM): MEMPHIS
- STATE (CHANGED FROM): TENNESSEE
- ZIP (CHANGED FROM): 38104
|
