| NAME |
CAPE GIRARDEAU MO CBOC |
| STATE |
MISSOURI |
| STREET ADDR. 1 |
711 S MOUNT AUBURN RD |
| CITY |
CAPE GIRARDEAU |
| ZIP |
63703-9998 |
| OFFICIAL VA NAME |
CAPE GIRARDEAU VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
CAPE GIRARDEAU VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1972554566
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
657GH |
| HISTORY |
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1073563474
-
- CODING SYSTEM: VASTANUM
- ID: 657GH
-
- CODING SYSTEM: CLIA
- ID: 26D0987318
|
