| NAME |
SIOUX CITY CBOC |
| STATE |
SOUTH DAKOTA |
| STREET ADDR. 1 |
380 WEST ANCHOR DR. |
| CITY |
DAKOTA DUNES |
| ZIP |
57049-9998 |
| OFFICIAL VA NAME |
SIOUX CITY CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
DAKOTA DUNES VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1043258577
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
438GC |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1043258577
-
- CODING SYSTEM: VASTANUM
- ID: 438GC
-
- CODING SYSTEM: CLIA
- ID: 16D1077879
|
