WASHINGTON CBOC (1865)    INSTITUTION (4)

Name Value
NAME WASHINGTON CBOC
STATE MISSOURI
STREET ADDR. 1 1627 A ROY DRIVE
CITY WASHINGTON
ZIP 63090-5008
OFFICIAL VA NAME WASHINGTON VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME WASHINGTON VA CBOC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1386682805
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
POINTER TO AGENCY VA
STATION NUMBER 657GS
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1386682805
  • CODING SYSTEM:   VASTANUM
    ID:   688GB