| NAME |
RAPID CITY CBOC |
| STATE |
SOUTH DAKOTA |
| STREET ADDR. 1 |
2165 PROMISE RD |
| CITY |
RAPID CITY |
| ZIP |
57701-8981 |
| OFFICIAL VA NAME |
RAPID CITY CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
RAPID CITY VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1346288438
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
568GA |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 3625 5TH STREET
- CITY (CHANGED FROM): RAPID CITY
- STATE (CHANGED FROM): SOUTH DAKOTA
- ZIP (CHANGED FROM): 57701-6015
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1346288438
-
- CODING SYSTEM: VASTANUM
- ID: 568GA
-
- CODING SYSTEM: CLIA
- ID: 43D0988262
|
