| NAME |
ZZ-WILLIAMSON CBOC |
| STATE |
WEST VIRGINIA |
| STREET ADDR. 1 |
75 WEST FOURTH AVE |
| CITY |
WILLIAMSON |
| ZIP |
25661-3509 |
| OFFICIAL VA NAME |
WILLIAMSON CBOC |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
WILLIAMSON VA CBOC |
| ST. ADDR. 1 (MAILING) |
75 WEST FOURTH AVE |
| CITY (MAILING) |
WILLIAMSON |
| STATE (MAILING) |
WEST VIRGINIA |
| ZIP (MAILING) |
25661-3509 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1265472062
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
581GD |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1265472062
-
- CODING SYSTEM: VASTANUM
- ID: 581GD
|
