ROANE COUNTY VA CLINIC (3811) INSTITUTION (4)

Name	Value
NAME	ROANE COUNTY VA CLINIC
STATE	TENNESSEE
STREET ADDR. 1	2305 N. GATEWAY AVE, SUITE 2
CITY	HARRIMAN
ZIP	37748-8665
OFFICIAL VA NAME	ROANE COUNTY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 9 PARENT FACILITY PARENT OF ASSOCIATION: TENNESSEE VALLEY HCS
BILLING FACILITY NAME	ROANE COUNTY VA CBOC
EFFECTIVE DATE/TIME	2010-06-01 00:00:00 STATUS: ACTIVE NPI: 1316267743
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	626GL