BARABOO, WI CBOC (1520)    INSTITUTION (4)

Name Value
NAME BARABOO, WI CBOC
STATE WISCONSIN
STREET ADDR. 1 1670 SOUTH BLVD
CITY BARABOO
ZIP 53913-2991
OFFICIAL VA NAME BARABOO, WI CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BARABOO VA CBOC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1972554913
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 607GD
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1972554913
  • CODING SYSTEM:   VASTANUM
    ID:   607GD
  • CODING SYSTEM:   CLIA
    ID:   52D1016785