| NAME |
WEST PLAINS MO CBOC |
| STATE |
MISSOURI |
| STREET ADDR. 1 |
1801 E STATE ROUTE K |
| CITY |
WEST PLAINS |
| ZIP |
65775-6616 |
| OFFICIAL VA NAME |
WEST PLAINS VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
WEST PLAINS VA CBOC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1639113798
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
657GF |
| HISTORY |
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1639113798
-
- CODING SYSTEM: VASTANUM
- ID: 657GF
-
- CODING SYSTEM: CLIA
- ID: 26D0987317
|
