CHARLESTON VA MOBILE CLINIC (4562) INSTITUTION (4)

Name	Value
NAME	CHARLESTON VA MOBILE CLINIC
STATE	SOUTH CAROLINA
STREET ADDR. 1	109 BEE ST
CITY	CHARLESTON
ZIP	29401-5703
OFFICIAL VA NAME	CHARLESTON VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 7 PARENT FACILITY PARENT OF ASSOCIATION: CHARLESTON VAMC
BILLING FACILITY NAME	CHARLESTON VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2023-09-26 00:00:00 STATUS: ACTIVE NPI: 1861271116
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	534QD
HISTORY