CONCORD VA CLINIC (4599) INSTITUTION (4)

Name	Value
NAME	CONCORD VA CLINIC
STATE	NEW HAMPSHIRE
STREET ADDR. 1	60 COMMERCIAL ST STE 301
CITY	CONCORD
ZIP	03301-5096
OFFICIAL VA NAME	CONCORD VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 1 PARENT FACILITY PARENT OF ASSOCIATION: MANCHESTER VAMC
BILLING FACILITY NAME	CONCORD VA CLINIC
EFFECTIVE DATE/TIME	2023-08-02 00:00:00 STATUS: ACTIVE NPI: 1295417822
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	608BY
HISTORY
IDENTIFIER	CODING SYSTEM: CLIA ID: 30D2284820