| NAME |
ZZ-LAFAYETTE, IN CBOC |
| STATE |
INDIANA |
| STREET ADDR. 1 |
3851 N RIVER RD |
| CITY |
WEST LAFAYETTE |
| ZIP |
47906-3762 |
| OFFICIAL VA NAME |
LAFAYETTE, IN CBOC |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
WEST LAFAYETTE VA CBOC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1427098243
-
- 2017-03-09 00:00:00
- STATUS: INACTIVE
- NPI: 1427098243
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
550GC |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1427098243
-
- CODING SYSTEM: VASTANUM
- ID: 550GC
-
- CODING SYSTEM: CLIA
- ID: 15D0998868
|
