CAMPBELL COUNTY VA CLINIC (3796) INSTITUTION (4)

Name	Value
NAME	CAMPBELL COUNTY VA CLINIC
STATE	TENNESSEE
STREET ADDR. 1	130 INDEPENDENCE LANE
CITY	LAFOLETTE
ZIP	37766-3031
OFFICIAL VA NAME	CAMPBELL COUNTY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 9 PARENT FACILITY PARENT OF ASSOCIATION: JAMES H. QUILLEN VAMC
BILLING FACILITY NAME	LAFOLLETTE VA CBOC
EFFECTIVE DATE/TIME	2014-06-02 00:00:00 STATUS: ACTIVE NPI: 1285046722
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	621GK