GORDON CBOC (1414)    INSTITUTION (4)

Name Value
NAME GORDON CBOC
STATE NEBRASKA
STREET ADDR. 1 300 E 8TH STREET
CITY GORDON
ZIP 69343-1123
OFFICIAL VA NAME GORDON CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME GORDON VA CBOC
ST. ADDR. 1 (MAILING) 300 E 8TH STREET
CITY (MAILING) GORDON
STATE (MAILING) NEBRASKA
ZIP (MAILING) 69343-1123
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1679517346
TAXONOMY CODE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 568HB
HISTORY
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1679517346
  • CODING SYSTEM:   VASTANUM
    ID:   568HB