TUPELO CBOC (1544)    INSTITUTION (4)

Name Value
NAME TUPELO CBOC
STATE MISSISSIPPI
STREET ADDR. 1 1114 COMMONWEALTH BLVD.
CITY TUPELO
ZIP 38804-9998
OFFICIAL VA NAME TUPELO CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME TUPELO VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1073552436
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 614GA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1073552436
  • CODING SYSTEM:   VASTANUM
    ID:   614GA