KINGSTON PIKE VA CLINIC (4610) INSTITUTION (4)

Name	Value
NAME	KINGSTON PIKE VA CLINIC
STATE	TENNESSEE
STREET ADDR. 1	8401 KINGSTON PIKE
CITY	KNOXVILLE
ZIP	37919-5363
OFFICIAL VA NAME	KINGSTON PIKE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 9 PARENT FACILITY PARENT OF ASSOCIATION: JAMES H. QUILLEN VAMC
BILLING FACILITY NAME	KNOXVILLE 4 VA CLINIC
EFFECTIVE DATE/TIME	2024-01-29 00:00:00 STATUS: ACTIVE NPI: 1750143194
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	621QH
HISTORY