| 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 |
|
| 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 |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
5659AA |
| IDENTIFIER |
-
- CODING SYSTEM: VASTANUM
- ID: 5659AA
|
