| NAME |
FRAMINGHAM |
| STATE |
MASSACHUSETTS |
| STREET ADDR. 1 |
61 LINCOLN STREET |
| STREET ADDR. 2 |
SUITE 112 |
| CITY |
FRAMINGHAM |
| ZIP |
01702-8264 |
| OFFICIAL VA NAME |
VA BOSTON HEALTHCARE SYSTEM - FRAMINGHAM CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
FRAMINGHAM VA CBOC |
| ST. ADDR. 1 (MAILING) |
61 LINCOLN STREET |
| ST. ADDR. 2 (MAILING) |
SUITE 112 |
| CITY (MAILING) |
FRAMINGHAM |
| STATE (MAILING) |
MASSACHUSETTS |
| ZIP (MAILING) |
01702-8264 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1184677213
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
523GA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1184677213
-
- CODING SYSTEM: VASTANUM
- ID: 523GA
|
