MIDDLETOWN (1348)    INSTITUTION (4)

Name Value
NAME MIDDLETOWN
STATE OHIO
STREET ADDR. 1 4337 N. UNION RD
CITY MIDDLETOWN
ZIP 45005-5211
OFFICIAL VA NAME MIDDLETOWN CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MIDDLETOWN VA CBOC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1023056504
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 552GA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1023056504
  • CODING SYSTEM:   VASTANUM
    ID:   552GA
  • CODING SYSTEM:   CLIA
    ID:   36D0988522