| NAME |
CHIPPEWA VALLEY CBOC |
| STATE |
WISCONSIN |
| STREET ADDR. 1 |
475 CHIPPEWA MALL DR, #418 |
| CITY |
CHIPPEWA FALLS |
| ZIP |
54729-5047 |
| OFFICIAL VA NAME |
CHIPPEWA VALLEY CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
CHIPPEWA FALLS VA CBOC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1417902941
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
618GE |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1417902941
-
- CODING SYSTEM: VASTANUM
- ID: 618GE
-
- CODING SYSTEM: CLIA
- ID: 52D1016449
|
