| NAME |
ZZ-LIBERAL KANSAS CBOC |
| STATE |
KANSAS |
| STREET ADDR. 1 |
2 ROCK ISLAND ROAD STE 200 |
| CITY |
LIBERAL |
| ZIP |
67901-3765 |
| OFFICIAL VA NAME |
LIBERAL KANSAS CBOC |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
LIBERAL VA CBOC |
| ST. ADDR. 1 (MAILING) |
2 ROCK ISLAND ROAD STE 200 |
| CITY (MAILING) |
LIBERAL |
| STATE (MAILING) |
KANSAS |
| ZIP (MAILING) |
67901-3765 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1396785069
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
504GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1396785069
-
- CODING SYSTEM: VASTANUM
- ID: 504GB
|
