BISMARCK (1049)    INSTITUTION (4)

Name Value
NAME BISMARCK
STATE NORTH DAKOTA
STREET ADDR. 1 2700 STATE STREET, SUITE #F
CITY BISMARCK
ZIP 58503-0069
OFFICIAL VA NAME BISMARCK
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BISMARCK VA CBOC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1578514154
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 437GB
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1578514154
  • CODING SYSTEM:   VASTANUM
    ID:   437GB
  • CODING SYSTEM:   CLIA
    ID:   35D1016808