| NAME |
COLUMBIA VA CLINIC |
| STATE |
TENNESSEE |
| STREET ADDR. 1 |
800 S JAMES CAMPBELL BLVD STE 100 |
| CITY |
COLUMBIA |
| ZIP |
38401-9998 |
| OFFICIAL VA NAME |
COLUMBIA VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
COLUMBIA VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2012-10-22 00:00:00
- STATUS: ACTIVE
- NPI: 1386997880
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
626GM |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 833 NASHVILLE HIGHWAY
- CITY (CHANGED FROM): COLUMBIA
- STATE (CHANGED FROM): TENNESSEE
- ZIP (CHANGED FROM): 39401-2443
|
