LORAIN CBOC (1290)    INSTITUTION (4)

Name Value
NAME LORAIN CBOC
STATE OHIO
STREET ADDR. 1 5275 N ABBE RD
CITY SHEFFIELD VILLAGE
ZIP 44035-1451
OFFICIAL VA NAME LORAIN CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME SHEFFIELD VILLAGE VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1013964790
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 541GB
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1013964790
  • CODING SYSTEM:   VASTANUM
    ID:   541GB
  • CODING SYSTEM:   CLIA
    ID:   36D1011864