JACKSONVILLE 3 VA CLINIC (4285)    INSTITUTION (4)

Name Value
NAME JACKSONVILLE 3 VA CLINIC
STATE NORTH CAROLINA
STREET ADDR. 1 4 JOSH COURT
CITY JACKSONVILLE
ZIP 28546-0052
OFFICIAL VA NAME JACKSONVILLE 3 VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME JACKSONVILLE 2 VA CLINIC
EFFECTIVE DATE/TIME
  • 2018-01-29 00:00:00
    STATUS:   ACTIVE
    NPI:   1659879138
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 565GM