HICKORY VA CLINIC (3875)    INSTITUTION (4)

Name Value
NAME HICKORY VA CLINIC
STATE NORTH CAROLINA
STREET ADDR. 1 2440 CENTURY PLACE SE
CITY HICKORY
ZIP 28602-4031
OFFICIAL VA NAME HICKORY VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME HICKORY VA CLINIC
EFFECTIVE DATE/TIME
  • 2015-03-30 00:00:00
    STATUS:   ACTIVE
    NPI:   1619350261
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 637GC
IDENTIFIER
  • CODING SYSTEM:   CLIA
    ID:   34D1101564