| NAME |
ZZPHILADELPHIA COATSVILLE CBOC |
| STATE |
PENNSYLVANIA |
| STREET ADDR. 1 |
213 NORTH 4TH STREET |
| CITY |
PHILADELPHIA |
| ZIP |
19106 |
| OFFICIAL VA NAME |
PHILA-COATESVILLE CBOC |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| ST. ADDR. 1 (MAILING) |
213 NORTH 4TH STREET |
| CITY (MAILING) |
PHILADELPHIA |
| STATE (MAILING) |
PENNSYLVANIA |
| ZIP (MAILING) |
19106 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1659315380
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
542GG |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1659315380
-
- CODING SYSTEM: VASTANUM
- ID: 542GG
|
