| NAME |
FORT LEONARD WOOD CBOC |
| STATE |
MISSOURI |
| STREET ADDR. 1 |
700 GW LANE |
| CITY |
WAYNESVILLE |
| ZIP |
65583-2325 |
| OFFICIAL VA NAME |
FORT LEONARD WOOD VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
WAYNESVILLE VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1780637918
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
589GF |
| HISTORY |
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1780637918
-
- CODING SYSTEM: VASTANUM
- ID: 589GF
-
- CODING SYSTEM: CLIA
- ID: 26D0998624
|
