ST. JOHNSBURY CBOC (1030)    INSTITUTION (4)

Name Value
NAME ST. JOHNSBURY CBOC
STATE NEW HAMPSHIRE
STREET ADDR. 1 264 COTTAGE STREET
CITY LITTLETON
ZIP 03561-4101
OFFICIAL VA NAME ST. JOHNSBURY VERMONT OUTREACH CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LITTLETON VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-03-26 00:00:00
    STATUS:   ACTIVE
    NPI:   1497794432
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 405HC
IDENTIFIER
  • CODING SYSTEM:   VASTANUM
    ID:   405HC