RUTHERFORD COUNTY VA CLINIC (3874) INSTITUTION (4)

Name	Value
NAME	RUTHERFORD COUNTY VA CLINIC
STATE	NORTH CAROLINA
STREET ADDR. 1	2270 COLLEGE AVENUE
STREET ADDR. 2	SUITE 145
CITY	FOREST CITY
ZIP	28043-2459
OFFICIAL VA NAME	RUTHERFORD COUNTY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 6 PARENT FACILITY PARENT OF ASSOCIATION: CHARLES GEORGE VAMC
BILLING FACILITY NAME	FOREST CITY VA CLINIC
EFFECTIVE DATE/TIME	2009-11-01 00:00:00 STATUS: ACTIVE NPI: 1811225428
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	637GB
IDENTIFIER	CODING SYSTEM: CLIA ID: 34D2005842