| NAME |
MARSHALLTOWN CBOC |
| STATE |
IOWA |
| STREET ADDR. 1 |
201 EAST MERLE HIBBS BLVD |
| CITY |
MARSHALLTOWN |
| ZIP |
50158-9998 |
| OFFICIAL VA NAME |
MARSHALLTOWN COMMUNITY BASED OUTPATIENT CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
MARSHALLTOWN VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2000-04-01 00:00:00
- STATUS: ACTIVE
- NPI: 1861715021
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
636GD |
| HISTORY |
-
- EFFECTIVE DATE: 2000-04-01 00:00:00
- REALIGNED FROM: ZZ MARSHALLTOWN ORC
-
- STREET ADDR. 1 (CHANGED FROM): 101 IOWA AVE
- CITY (CHANGED FROM): MARSHALLTOWN
- STATE (CHANGED FROM): IOWA
- ZIP (CHANGED FROM): 50158-4768
|
| IDENTIFIER |
-
- CODING SYSTEM: VASTANUM
- ID: 636GD
|
