GREENFIELD (CBOC) (1619)    INSTITUTION (4)

Name Value
NAME GREENFIELD (CBOC)
STATE MASSACHUSETTS
STREET ADDR. 1 143 MUNSON STREET
CITY GREENFIELD
ZIP 01301-9694
OFFICIAL VA NAME GREENFIELD CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME GREENFIELD VA CBOC
ST. ADDR. 1 (MAILING) 143 MUNSON STREET
CITY (MAILING) GREENFIELD
STATE (MAILING) MASSACHUSETTS
ZIP (MAILING) 01301-9694
EFFECTIVE DATE/TIME
  • 2007-03-26 00:00:00
    STATUS:   ACTIVE
    NPI:   1083767503
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 631GD
HISTORY
IDENTIFIER
  • CODING SYSTEM:   VASTANUM
    ID:   631GD
  • CODING SYSTEM:   CLIA
    ID:   22D1011873