DOWNTOWN WEST VA CLINIC (3801)    INSTITUTION (4)

Name Value
NAME DOWNTOWN WEST VA CLINIC
STATE TENNESSEE
STREET ADDR. 1 1521 DOWNTOWN WEST BLVD
CITY KNOXVILLE
ZIP 37919-5407
OFFICIAL VA NAME DOWNTOWN WEST VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME KNOXVILLE 2 VA CLINIC
EFFECTIVE DATE/TIME
  • 2016-12-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1922544394
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
STATION NUMBER 621QE