| NAME |
ZANESVILLE |
| STATE |
OHIO |
| STREET ADDR. 1 |
2800 MAPLE AVE |
| STREET ADDR. 2 |
BLDG 3-A |
| CITY |
ZANESVILLE |
| ZIP |
43701-1716 |
| OFFICIAL VA NAME |
ZANESVILLE CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ZANESVILLE VA CBOC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1164462529
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
757GA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1164462529
-
- CODING SYSTEM: VASTANUM
- ID: 757GA
-
- CODING SYSTEM: CLIA
- ID: 36D1039265
|