MIDDLEBURG VA CLINIC (4440) INSTITUTION (4)

Name	Value
NAME	MIDDLEBURG VA CLINIC
STATE	FLORIDA
STREET ADDR. 1	400 COLLEGE DRIVE, SUITE 200
CITY	MIDDLEBURG
ZIP	32068-8523
OFFICIAL VA NAME	MIDDLEBURG VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: N. FLORIDA/S. GEORGIA HCS
BILLING FACILITY NAME	MIDDLEBURG VA CLINIC
EFFECTIVE DATE/TIME	2020-05-26 00:00:00 STATUS: ACTIVE NPI: 1528681723
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	573GO
IDENTIFIER	CODING SYSTEM: CLIA ID: 10D2187962