CHARLOTTESVILLE VA CLINIC (3913) INSTITUTION (4)

Name	Value
NAME	CHARLOTTESVILLE VA CLINIC
STATE	VIRGINIA
STREET ADDR. 1	590 PETER JEFFERSON PARKWAY SUITE 250
CITY	CHARLOTTESVILLE
ZIP	22911-4655
OFFICIAL VA NAME	CHARLOTTESVILLE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 6 PARENT FACILITY PARENT OF ASSOCIATION: RICHMOND VA MEDICAL CENTER
BILLING FACILITY NAME	CHARLOTTESVILLE VA CLINIC
EFFECTIVE DATE/TIME	2008-02-01 00:00:00 STATUS: ACTIVE NPI: 1154599470
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	652GE