| NAME |
MCCAFERTY CBOC |
| STATE |
OHIO |
| STREET ADDR. 1 |
4242 LORAIN AVENUE |
| CITY |
CLEVELAND |
| ZIP |
44113-3715 |
| OFFICIAL VA NAME |
MCCAFERTY CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
MCCAFFERTY VA CBOC |
| ST. ADDR. 1 (MAILING) |
4242 LORAIN AVENUE |
| CITY (MAILING) |
CLEVELAND |
| STATE (MAILING) |
OHIO |
| ZIP (MAILING) |
44113-3715 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1992743934
-
- 2020-05-28 00:00:00
- STATUS: INACTIVE
- NPI: 1992743934
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
541GE |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1992743934
-
- CODING SYSTEM: VASTANUM
- ID: 541GE
-
- CODING SYSTEM: CLIA
- ID: 36D1011863
|
