| NAME |
CONWAY CBOC |
| STATE |
NEW HAMPSHIRE |
| STREET ADDR. 1 |
71 HOBBS STREET |
| CITY |
CONWAY |
| ZIP |
03818-8109 |
| OFFICIAL VA NAME |
CONWAY CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
CONWAY VA CBOC |
| ST. ADDR. 1 (MAILING) |
71 HOBBS STREET |
| CITY (MAILING) |
CONWAY |
| STATE (MAILING) |
NEW HAMPSHIRE |
| ZIP (MAILING) |
03818-8109 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1215989363
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
608GD |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1215989363
-
- CODING SYSTEM: VASTANUM
- ID: 608GD
-
- CODING SYSTEM: CLIA
- ID: 30D2028965
|
