| NAME |
ZZ-MALONE |
| STATE |
NEW YORK |
| STREET ADDR. 1 |
3372 STATE ROUTE 11 |
| CITY |
MALONE |
| ZIP |
12953-4712 |
| OFFICIAL VA NAME |
MALONE CBOC |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
MALONE VA CBOC |
| ST. ADDR. 1 (MAILING) |
3372 STATE ROUTE 11 |
| CITY (MAILING) |
MALONE |
| STATE (MAILING) |
NEW YORK |
| ZIP (MAILING) |
12953-4712 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1831146448
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
528G1 |
| HISTORY |
-
- EFFECTIVE DATE: 2000-07-01 00:00:00
- REALIGNED FROM: ZZ MALONE
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1831146448
-
- CODING SYSTEM: VASTANUM
- ID: 528G1
-
- CODING SYSTEM: CLIA
- ID: 33D1096604
|
