| NAME |
PORTSMOUTH CBOC |
| STATE |
NEW HAMPSHIRE |
| STREET ADDR. 1 |
302 NEWMARKET STREET,BLDG 15 |
| STREET ADDR. 2 |
PEASE AIR NATIONAL GUARD BASE, BLDG 15 |
| CITY |
PORTSMOUTH |
| ZIP |
03803-0001 |
| OFFICIAL VA NAME |
PORTSMOUTH CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
PORTSMOUTH VA CBOC |
| ST. ADDR. 1 (MAILING) |
302 NEWMARKET ST,BLDG 15 |
| CITY (MAILING) |
PORTSMOUTH |
| STATE (MAILING) |
NEW HAMPSHIRE |
| ZIP (MAILING) |
03803-0001 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1861439101
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
608GA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1861439101
-
- CODING SYSTEM: VASTANUM
- ID: 608GA
-
- CODING SYSTEM: CLIA
- ID: 30D2028964
|
