| NAME |
ELMIRA CBOC |
| STATE |
NEW YORK |
| STREET ADDR. 1 |
1316 COLLEGE AVENUE |
| CITY |
ELMIRA |
| ZIP |
14901-1169 |
| OFFICIAL VA NAME |
ELMIRA CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ELMIRA VA CLINIC |
| ST. ADDR. 1 (MAILING) |
200 MADISON AVENUE |
| CITY (MAILING) |
ELMIRA |
| STATE (MAILING) |
NEW YORK |
| ZIP (MAILING) |
14901-3218 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1467405803
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
528G4 |
| HISTORY |
-
- EFFECTIVE DATE: 2000-07-01 00:00:00
- REALIGNED FROM: ZZ ELMIRA
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1467405803
-
- CODING SYSTEM: VASTANUM
- ID: 528G4
-
- CODING SYSTEM: CLIA
- ID: 33D1002236
|
