PORTSMOUTH VA CLINIC (VA) (4457) INSTITUTION (4)

Name	Value
NAME	PORTSMOUTH VA CLINIC (VA)
STATE	VIRGINIA
STREET ADDR. 1	600 CRAWFORD ST
STREET ADDR. 2	STE 300 and 400
CITY	PORTSMOUTH
ZIP	23704-3820
OFFICIAL VA NAME	PORTSMOUTH VA CLINIC (VA)
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 6 PARENT FACILITY PARENT OF ASSOCIATION: HAMPTON VA MEDICAL CENTER
BILLING FACILITY NAME	PORTSMOUTH VA CLINIC
EFFECTIVE DATE/TIME	2020-08-18 00:00:00 STATUS: ACTIVE NPI: 1881205813
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	590GE
IDENTIFIER	CODING SYSTEM: CLIA ID: 49D2198233