| NAME |
ZZ-EFFINGHAM |
| STATE |
ILLINOIS |
| STREET ADDR. 1 |
LINCOLN LAND BUILDING, STE 21 |
| CITY |
EFFINGHAM |
| ZIP |
62401 |
| OFFICIAL VA NAME |
ZZ-EFFINGHAM |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| ST. ADDR. 1 (MAILING) |
LINCOLN LAND BUILDING, STE 21 |
| CITY (MAILING) |
EFFINGHAM |
| STATE (MAILING) |
ILLINOIS |
| ZIP (MAILING) |
62401 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1184670341
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
550GE |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1184670341
-
- CODING SYSTEM: VASTANUM
- ID: 550GE
-
- CODING SYSTEM: CLIA
- ID: 14D1013306
|
