| NAME |
NEVADA CBOC |
| STATE |
MISSOURI |
| STREET ADDR. 1 |
322 S. Prewitt |
| CITY |
Nevada |
| ZIP |
64772-3803 |
| OFFICIAL VA NAME |
NEVADA VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
NEVADA VA CLINIC |
| ST. ADDR. 1 (MAILING) |
322 S. Prewitt |
| CITY (MAILING) |
Nevada |
| STATE (MAILING) |
MISSOURI |
| ZIP (MAILING) |
64772-3803 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1518905140
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
589GD |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1518905140
-
- CODING SYSTEM: VASTANUM
- ID: 589GD
|
