CHARLOTTE 5TH ST VA CLINIC (3965) INSTITUTION (4)

Name	Value
NAME	CHARLOTTE 5TH ST VA CLINIC
STATE	NORTH CAROLINA
STREET ADDR. 1	601 EAST 5TH SREET, #450
CITY	CHARLOTTE
ZIP	28202-3058
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 6 PARENT FACILITY PARENT OF ASSOCIATION: W.G. HEFNER SALISBURY VAMC
BILLING FACILITY NAME	CHARLOTTE FIFTH STREET VA OOS
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1144618356
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	659QA