GREENBRIER COUNTY VA CLINIC (3456) INSTITUTION (4)

Name	Value
NAME	GREENBRIER COUNTY VA CLINIC
STATE	WEST VIRGINIA
STREET ADDR. 1	228 SHAMROCK LANE
CITY	RONCEVERTE
ZIP	24970-8380
OFFICIAL VA NAME	GREENBRIER COUNTY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 5 PARENT FACILITY PARENT OF ASSOCIATION: BECKLEY VA MEDICAL CENTER
BILLING FACILITY NAME	RONCEVERTE VA CLINIC
EFFECTIVE DATE/TIME	2010-12-01 00:00:00 STATUS: ACTIVE NPI: 1861794067
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	517GB
IDENTIFIER	CODING SYSTEM: CLIA ID: 1-51D2015710