FAYETTEVILLE CLC (686) INSTITUTION (4)

Name	Value
NAME	FAYETTEVILLE CLC
STATE	NORTH CAROLINA
STREET ADDR. 1	2300 RAMSEY ST
CITY	FAYETTEVILLE
ZIP	28301-3856
OFFICIAL VA NAME	FAYETTEVILLE CLC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 6 PARENT FACILITY PARENT OF ASSOCIATION: FAYETTEVILLE NC VAMC
BILLING FACILITY NAME	FAYETTEVILLE VA CLC
ST. ADDR. 1 (MAILING)	2300 RAMSEY ST
CITY (MAILING)	FAYETTEVILLE
STATE (MAILING)	NORTH CAROLINA
ZIP (MAILING)	28311
EFFECTIVE DATE/TIME	1998-10-01 00:00:00 STATUS: ACTIVE NPI: 1265892574
TAXONOMY CODE	Nursing & Custodial Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	5659AA
IDENTIFIER	CODING SYSTEM: VASTANUM ID: 5659AA