ROCKFORD,IL OPC (1522)    INSTITUTION (4)

Name Value
NAME ROCKFORD,IL OPC
STATE ILLINOIS
STREET ADDR. 1 816 FEATHERSTONE RD
CITY ROCKFORD
ZIP 61107-6300
OFFICIAL VA NAME ROCKFORD, IL OPC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME ROCKFORD VA CBOC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1174567770
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 607HA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1174567770
  • CODING SYSTEM:   VASTANUM
    ID:   607HA
  • CODING SYSTEM:   CLIA
    ID:   14D1000261