KEENE CBOC (1032)    INSTITUTION (4)

Name Value
NAME KEENE CBOC
STATE NEW HAMPSHIRE
STREET ADDR. 1 640 MARLBORO ST
CITY KEENE
ZIP 03431-4049
OFFICIAL VA NAME KEENE OUT REACH CENTER
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME KEENE VA CBOC
EFFECTIVE DATE/TIME
  • 2004-01-13 00:00:00
    STATUS:   ACTIVE
    NPI:   1124397211
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 405HE
IDENTIFIER
  • CODING SYSTEM:   VASTANUM
    ID:   405HE