RUTLAND CBOC (1033)    INSTITUTION (4)

Name Value
NAME RUTLAND CBOC
STATE VERMONT
STREET ADDR. 1 232 WEST STREET
CITY RUTLAND
ZIP 05701-2850
OFFICIAL VA NAME RUTLAND VERMONT OUTREACH CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME RUTLAND VA CBOC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1861435083
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 405HF
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1861435083
  • CODING SYSTEM:   VASTANUM
    ID:   405HF