| NAME |
HATTIESBURG |
| STATE |
MISSISSIPPI |
| STREET ADDR. 1 |
231 Methodist Boulevard |
| CITY |
HATTIESBURG |
| ZIP |
39402-1297 |
| OFFICIAL VA NAME |
HATTIESBURG |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
HATTIESBURG VA CBOC |
| ST. ADDR. 1 (MAILING) |
231 Methodist Boulevard |
| CITY (MAILING) |
HATTIESBURG |
| STATE (MAILING) |
MISSISSIPPI |
| ZIP (MAILING) |
39402-1297 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1376598698
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
586GD |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1376598698
-
- CODING SYSTEM: VASTANUM
- ID: 586GD
|
