KIRKSVILLE CBOC (1968) INSTITUTION (4)

Name	Value
NAME	KIRKSVILLE CBOC
STATE	MISSOURI
STREET ADDR. 1	506 ROSEWOOD DRIVE
CITY	KIRKSVILLE
ZIP	63501-2437
OFFICIAL VA NAME	KIRKSVILLE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 15 PARENT FACILITY PARENT OF ASSOCIATION: COLUMBIA, MO VAMC
BILLING FACILITY NAME	KIRKSVILLE VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1942256680
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	589GE
HISTORY	EFFECTIVE DATE: 2001-04-01 00:00:00 REALIGNED FROM: ZZ KIRKSVILLE CBOC
IDENTIFIER	CODING SYSTEM: NPI ID: 1942256680 CODING SYSTEM: VASTANUM ID: 589GE