| NAME |
ZZ-NANTUCKET |
| STATE |
MASSACHUSETTS |
| STREET ADDR. 1 |
57 PROSPECT STREET |
| CITY |
NANTUCKET |
| ZIP |
02554-2799 |
| OFFICIAL VA NAME |
NANTUCKET CBOC |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
NANTUCKET VA CBOC |
| ST. ADDR. 1 (MAILING) |
57 PROSPECT STREET |
| CITY (MAILING) |
NANTUCKET |
| STATE (MAILING) |
MASSACHUSETTS |
| ZIP (MAILING) |
02554-2799 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1861431223
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
650GE |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1861431223
-
- CODING SYSTEM: VASTANUM
- ID: 650GE
|
