GLENIS DRIVE 2 VA CLINIC (4468)    INSTITUTION (4)

Name Value
NAME GLENIS DRIVE 2 VA CLINIC
STATE TENNESSEE
STREET ADDR. 1 260 GLENIS DRIVE
CITY MURFREESBORO
ZIP 37129-5102
OFFICIAL VA NAME GLENIS DRIVE 2 VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MURFREESBORO 1 VA CLINIC
EFFECTIVE DATE/TIME
  • 2008-07-14 00:00:00
    STATUS:   ACTIVE
    NPI:   1447883095
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 626QE