| NAME |
COLUMBUS CBOC |
| STATE |
GEORGIA |
| STREET ADDR. 1 |
6910 RIVER RD |
| CITY |
COLUMBUS |
| ZIP |
31904-2316 |
| OFFICIAL VA NAME |
CENTRAL ALABAMA HCS - COLUMBUS CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
COLUMBUS VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1255383311
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
619GA |
| HISTORY |
-
-
- STREET ADDR. 1 (CHANGED FROM): 1310 13TH AVENUE
- CITY (CHANGED FROM): COLUMBUS
- STATE (CHANGED FROM): GEORGIA
- ZIP (CHANGED FROM): 31906-2335
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1255383311
-
- CODING SYSTEM: VASTANUM
- ID: 619GA
-
- CODING SYSTEM: CLIA
- ID: 11D1084134
|
