SCOTTSBLUFF CBOC (1419)    INSTITUTION (4)

Name Value
NAME SCOTTSBLUFF CBOC
STATE NEBRASKA
STREET ADDR. 1 601 5th AVENUE
CITY SCOTTSBLUFF
ZIP 69361-3581
OFFICIAL VA NAME SCOTTSBLUFF CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME SCOTTSBLUFF VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1780623199
TAXONOMY CODE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 568HH
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1780623199
  • CODING SYSTEM:   VASTANUM
    ID:   568HH