ZANESVILLE (1910)    INSTITUTION (4)

Name Value
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