ZZ-NEWPORT CBOC (1031)    INSTITUTION (4)

Name Value
NAME ZZ-NEWPORT CBOC
STATE VERMONT
STREET ADDR. 1 60 BROADVIEW AVE
CITY NEWPORT
ZIP 05855-5516
OFFICIAL VA NAME NEWPORT VERMONT ORC
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME NEWPORT CBOC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1588603427
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 405HD
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1588603427
  • CODING SYSTEM:   VASTANUM
    ID:   405HD