| NAME |
ORANGEBURG, SC CBOC |
| STATE |
SOUTH CAROLINA |
| STREET ADDR. 1 |
151 MAGNOLIA VILLAGE PARKWAY |
| CITY |
ORANGEBURG |
| ZIP |
29118-9998 |
| OFFICIAL VA NAME |
ORANGEBURG CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ORANGEBURG VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1912945593
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
544GE |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 1767 VILLAGEPARK DRIVE
- CITY (CHANGED FROM): ORANGEBURG
- STATE (CHANGED FROM): SOUTH CAROLINA
- ZIP (CHANGED FROM): 29118-2475
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1912945593
-
- CODING SYSTEM: VASTANUM
- ID: 544GE
-
- CODING SYSTEM: CLIA
- ID: 42D1045970
|
