DUBOIS CBOC (1122)    INSTITUTION (4)

Name Value
NAME DUBOIS CBOC
STATE PENNSYLVANIA
STREET ADDR. 1 5690 SHAFFER ROAD
CITY DUBOIS
ZIP 15801-3870
OFFICIAL VA NAME DUBOIS CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME DUBOIS VA CBOC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1366495848
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 503GB
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1366495848
  • CODING SYSTEM:   VASTANUM
    ID:   503GB
  • CODING SYSTEM:   CLIA
    ID:   39D1002308