PLATTSBURGH CBOC (1243) INSTITUTION (4)

Name	Value
NAME	PLATTSBURGH CBOC
STATE	NEW YORK
STREET ADDR. 1	5180 NORTH CATHERINE STREET
CITY	PLATTSBURGH
ZIP	12901-2853
OFFICIAL VA NAME	PLATTSBURGH
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 2 PARENT FACILITY PARENT OF ASSOCIATION: SAMUEL S. STRATTON VAMC
BILLING FACILITY NAME	PLATTSBURGH VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1912945387
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	528GV
HISTORY	EFFECTIVE DATE: 2000-07-01 00:00:00 REALIGNED FROM: ZZ PLATTSBURGH
IDENTIFIER	CODING SYSTEM: NPI ID: 1912945387 CODING SYSTEM: VASTANUM ID: 528GV CODING SYSTEM: CLIA ID: 33D1011511