| NAME |
BOSTON SOC |
| STATE |
MASSACHUSETTS |
| STREET ADDR. 1 |
251 CAUSEWAY STREET |
| CITY |
BOSTON |
| ZIP |
02114-2148 |
| OFFICIAL VA NAME |
VA BOSTON HEALTHCARE SYSTEM - BOSTON OPC DIVISION |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
BOSTON CAUSEWAY VA CBOC |
| ST. ADDR. 1 (MAILING) |
251 CAUSEWAY STREET |
| CITY (MAILING) |
BOSTON |
| STATE (MAILING) |
MASSACHUSETTS |
| ZIP (MAILING) |
02114-2148 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1912958596
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
523BZ |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1912958596
-
- CODING SYSTEM: VASTANUM
- ID: 523BZ
-
- CODING SYSTEM: CLIA
- ID: 22D0989789
|
