GLENS FALLS CBOC (1241)    INSTITUTION (4)

Name Value
NAME GLENS FALLS CBOC
STATE NEW YORK
STREET ADDR. 1 101 RIDGE STREET
CITY GLENS FALLS
ZIP 12801-3624
OFFICIAL VA NAME GLENS FALLS CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME GLENS FALLS VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1417901844
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 528GT
HISTORY
  • EFFECTIVE DATE:   2000-07-01 00:00:00
    REALIGNED FROM:   ZZ GLENS FALLS
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1417901844
  • CODING SYSTEM:   VASTANUM
    ID:   528GT
  • CODING SYSTEM:   CLIA
    ID:   33D2161431