| NAME |
WARREN CBOC |
| STATE |
OHIO |
| STREET ADDR. 1 |
1460 TOD AVE NW |
| CITY |
WARREN |
| ZIP |
44485-2407 |
| OFFICIAL VA NAME |
WARREN CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
WARREN VA CBOC |
| ST. ADDR. 1 (MAILING) |
1460 TOD AVE NW |
| CITY (MAILING) |
WARREN |
| STATE (MAILING) |
OHIO |
| ZIP (MAILING) |
44485-2407 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1104865971
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
541GI |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1104865971
-
- CODING SYSTEM: VASTANUM
- ID: 541GI
-
- CODING SYSTEM: CLIA
- ID: 36D1011865
|
