| NAME |
NATCHEZ |
| STATE |
MISSISSIPPI |
| STREET ADDR. 1 |
105 NORTHGATE DRIVE SUITE 2 |
| CITY |
NATCHEZ |
| ZIP |
39120-9162 |
| OFFICIAL VA NAME |
NATCHEZ |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
NATCHEZ VA CBOC |
| ST. ADDR. 1 (MAILING) |
105 NORTHGATE DRIVE SUITE 2 |
| CITY (MAILING) |
NATCHEZ |
| STATE (MAILING) |
MISSISSIPPI |
| ZIP (MAILING) |
39120-9162 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1528006152
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
586GE |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1528006152
-
- CODING SYSTEM: VASTANUM
- ID: 586GE
|