| NAME |
JENNINGS CBOC |
| STATE |
LOUISIANA |
| STREET ADDR. 1 |
1907 JOHNSON STREET |
| CITY |
JENNINGS |
| ZIP |
70546-3627 |
| OFFICIAL VA NAME |
JENNINGS CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
JENNINGS VA CBOC |
| ST. ADDR. 1 (MAILING) |
1907 JOHNSON STREET |
| CITY (MAILING) |
JENNINGS |
| STATE (MAILING) |
LOUISIANA |
| ZIP (MAILING) |
70546-3627 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1093761462
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
502GA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1093761462
-
- CODING SYSTEM: VASTANUM
- ID: 502GA
-
- CODING SYSTEM: CLIA
- ID: 19D1013264
|
