BELTON CBOC (1473)    INSTITUTION (4)

Name Value
NAME BELTON CBOC
STATE MISSOURI
STREET ADDR. 1 209 CUNNINGHAM PARKWAY
CITY BELTON
ZIP 64012-5138
OFFICIAL VA NAME BELTON VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BELTON VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1184675738
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 589GB
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1184675738
  • CODING SYSTEM:   VASTANUM
    ID:   589GB
  • CODING SYSTEM:   CLIA
    ID:   26D0998589