NORTH PLATTE CBOC (1654)    INSTITUTION (4)

Name Value
NAME NORTH PLATTE CBOC
STATE NEBRASKA
STREET ADDR. 1 300 E 3RD ST STE 302
CITY NORTH PLATTE
ZIP 69101-4000
OFFICIAL VA NAME NORTH PLATTE CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME NORTH PLATTE VA CLINIC
ST. ADDR. 1 (MAILING) 600 East Francis Suite 3
CITY (MAILING) NORTH PLATTE
STATE (MAILING) NEBRASKA
ZIP (MAILING) 69101-6796
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1841238474
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 636GB
HISTORY
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1841238474
  • CODING SYSTEM:   VASTANUM
    ID:   636GB
  • CODING SYSTEM:   CLIA
    ID:   28D0999848