| NAME |
RUMFORD MAINE CBOC |
| STATE |
MAINE |
| STREET ADDR. 1 |
10 RAILROAD ST |
| CITY |
RUMFORD |
| ZIP |
04276-9998 |
| OFFICIAL VA NAME |
RUMFORD MAINE CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
RUMFORD VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1982646360
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
402GC |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 431 FRANKLIN STREET
- CITY (CHANGED FROM): RUMFORD
- STATE (CHANGED FROM): MAINE
- ZIP (CHANGED FROM): 04276-2100
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1982646360
-
- CODING SYSTEM: VASTANUM
- ID: 402GC
-
- CODING SYSTEM: CLIA
- ID: 20D1008068
|
