| NAME |
PITTSFIELD CBOC |
| STATE |
MASSACHUSETTS |
| STREET ADDR. 1 |
78 CENTER ST # 2 |
| CITY |
PITTSFIELD |
| ZIP |
01201-5692 |
| OFFICIAL VA NAME |
PITTSFIELD CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
PITTSFIELD VA CLINIC |
| ST. ADDR. 1 (MAILING) |
73 EAGLE STREET |
| CITY (MAILING) |
PITTSFIELD |
| STATE (MAILING) |
MASSACHUSETTS |
| ZIP (MAILING) |
01201-4714 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1033156518
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
631GC |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1033156518
-
- CODING SYSTEM: VASTANUM
- ID: 631GC
-
- CODING SYSTEM: CLIA
- ID: 22D1011874
|
