LYNCHBURG VA CLINIC (3956) INSTITUTION (4)

Name	Value
NAME	LYNCHBURG VA CLINIC
STATE	VIRGINIA
STREET ADDR. 1	1600 Lakeside Drive
CITY	LYNCHBURG
ZIP	24501-3116
OFFICIAL VA NAME	LYNCHBURG VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 6 PARENT FACILITY PARENT OF ASSOCIATION: SALEM VA MEDICAL CENTER
BILLING FACILITY NAME	LYNCHBURG VA CLINIC
EFFECTIVE DATE/TIME	2008-08-01 00:00:00 STATUS: ACTIVE NPI: 1851554232
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	658GC
IDENTIFIER	CODING SYSTEM: CLIA ID: 49D1090749