| NAME |
HIBBING (CBOC) |
| STATE |
MINNESOTA |
| STREET ADDR. 1 |
990 W 41ST ST STE 88 |
| CITY |
HIBBING |
| ZIP |
55746-3045 |
| OFFICIAL VA NAME |
HIBBING (CBOC) |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
HIBBING VA CLINIC |
| ST. ADDR. 1 (MAILING) |
990 W 41ST ST SUITE 5 |
| CITY (MAILING) |
HIBBING |
| STATE (MAILING) |
MINNESOTA |
| ZIP (MAILING) |
55746-3045 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1902851348
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
618GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1902851348
-
- CODING SYSTEM: VASTANUM
- ID: 618GB
|
