MCMINNVILLE VA CLINIC (3810)    INSTITUTION (4)

Name Value
NAME MCMINNVILLE VA CLINIC
STATE TENNESSEE
STREET ADDR. 1 1410 SPARTA ST STE 6
CITY MCMINNVILLE
ZIP 37110-1313
OFFICIAL VA NAME MCMINNVILLE VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MCMINNVILLE VA CLINIC
EFFECTIVE DATE/TIME
  • 2009-06-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1073749032
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 626GK