JOHNSON AFB VA CLINIC (4579) INSTITUTION (4)

Name	Value
NAME	JOHNSON AFB VA CLINIC
STATE	NORTH CAROLINA
STREET ADDR. 1	1055 JABARA AVE BLDG 2803
CITY	GOLDSBORO
ZIP	27531-2311
OFFICIAL VA NAME	JOHNSON AFB VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 6 PARENT FACILITY PARENT OF ASSOCIATION: FAYETTEVILLE NC VAMC
BILLING FACILITY NAME	GOLDSBORO 1 VA CLINIC
EFFECTIVE DATE/TIME	2022-10-27 00:00:00 STATUS: ACTIVE NPI: 1699492611
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	565GO
HISTORY