WAUSAU (1818)    INSTITUTION (4)

Name Value
NAME WAUSAU
STATE WISCONSIN
STREET ADDR. 1 1105 E GRAND AVE
CITY ROTHSCHILD
ZIP 54474-1024
OFFICIAL VA NAME WAUSAU CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME ROTHSCHILD VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1275573677
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 676GA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1275573677
  • CODING SYSTEM:   VASTANUM
    ID:   676GA
  • CODING SYSTEM:   CLIA
    ID:   52D1098444