WESTPORT CBOC (1221)    INSTITUTION (4)

Name Value
NAME WESTPORT CBOC
STATE NEW YORK
STREET ADDR. 1 7426 NYS ROUTE 9N
CITY WESTPORT
ZIP 12993-2801
OFFICIAL VA NAME WESTPORT CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME WESTPORT VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1306899836
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 528G2
HISTORY
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1306899836
  • CODING SYSTEM:   VASTANUM
    ID:   528G2
  • CODING SYSTEM:   CLIA
    ID:   33D2023159