PAOLA/LOUISBURG CBOC (1474)    INSTITUTION (4)

Name Value
NAME PAOLA/LOUISBURG CBOC
STATE KANSAS
STREET ADDR. 1 501 S. HOSPITAL DRIVE
CITY PAOLA
ZIP 66071-2103
OFFICIAL VA NAME PAOLA VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME PAOLA VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1588606750
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 589GC
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1588606750
  • CODING SYSTEM:   VASTANUM
    ID:   589GC
  • CODING SYSTEM:   CLIA
    ID:   17D0998588