PIERRE CBOC (1411)    INSTITUTION (4)

Name Value
NAME PIERRE CBOC
STATE SOUTH DAKOTA
STREET ADDR. 1 1615 NORTH HARRISON AVE, SUITE 20
CITY PIERRE
ZIP 57501-2392
OFFICIAL VA NAME PIERRE CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME PIERRE VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1770520397
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 568GB
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1770520397
  • CODING SYSTEM:   VASTANUM
    ID:   568GB