| NAME |
KEY WEST CBOC |
| STATE |
FLORIDA |
| STREET ADDR. 1 |
1300 DOUGLAS CIRCLE |
| CITY |
KEY WEST |
| ZIP |
33040-4536 |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
KEY WEST VA CBOC |
| ST. ADDR. 1 (MAILING) |
1300 DOUGLAS CIRCLE |
| CITY (MAILING) |
KEY WEST |
| STATE (MAILING) |
FLORIDA |
| ZIP (MAILING) |
33040-4536 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1588610406
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
546GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1588610406
-
- CODING SYSTEM: VASTANUM
- ID: 546GB
-
- CODING SYSTEM: CLIA
- ID: 10D1001687
|
