KNOX WEST VA CLINIC (4609)    INSTITUTION (4)

Name Value
NAME KNOX WEST VA CLINIC
STATE TENNESSEE
STREET ADDR. 1 1612 DOWNTOWN WEST BLVD
CITY KNOXVILLE
ZIP 37919-5408
OFFICIAL VA NAME KNOX WEST VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME KNOXVILLE 3 VA CLINIC
EFFECTIVE DATE/TIME
  • 2022-07-14 00:00:00
    STATUS:   ACTIVE
    NPI:   1932833357
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 621QG
HISTORY