| NAME |
MISSION CBOC |
| STATE |
SOUTH DAKOTA |
| STREET ADDR. 1 |
153 MAIN STREET |
| CITY |
MISSION |
| ZIP |
57555-9998 |
| OFFICIAL VA NAME |
MISSION CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
MISSION VA CBOC |
| ST. ADDR. 1 (MAILING) |
MISSION MEDICAL CLINIC |
| CITY (MAILING) |
MISSION |
| STATE (MAILING) |
SOUTH DAKOTA |
| ZIP (MAILING) |
57555-9998 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1033153705
-
- 2021-08-20 00:00:00
- STATUS: INACTIVE
- NPI: 1033153705
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
568HJ |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1033153705
-
- CODING SYSTEM: VASTANUM
- ID: 568HJ
|
