| NAME |
TROY |
| STATE |
NEW YORK |
| STREET ADDR. 1 |
295 RIVER STREET |
| CITY |
TROY |
| ZIP |
12180-3215 |
| OFFICIAL VA NAME |
TROY CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
TROY VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1184664567
-
- 2023-01-23 00:00:00
- STATUS: INACTIVE
- NPI: 1184664567
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
528GX |
| HISTORY |
-
- EFFECTIVE DATE: 2000-07-01 00:00:00
- REALIGNED FROM: ZZ TROY
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1184664567
-
- CODING SYSTEM: VASTANUM
- ID: 528GX
-
- CODING SYSTEM: CLIA
- ID: 33D0961920
|
