ZZ-ABILENE CBOC TEST (2042) INSTITUTION (4)

Name	Value
NAME	ZZ-ABILENE CBOC TEST
STATE	KANSAS
STREET ADDR. 1	510 NE 10TH STREET
CITY	ABILENE
ZIP	67410
OFFICIAL VA NAME	ABILENE CBOC
INACTIVE FACILITY FLAG	INACTIVE
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 15 PARENT FACILITY PARENT OF ASSOCIATION: KANSAS CITY VAMC
ST. ADDR. 1 (MAILING)	510 NE 10TH STREET
CITY (MAILING)	ABILENE
STATE (MAILING)	KANSAS
ZIP (MAILING)	67410
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1376593236 2018-07-12 00:00:00 STATUS: INACTIVE NPI: 1376593236
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE Hospitals PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
POINTER TO AGENCY	VA
STATION NUMBER	589GK
HISTORY	EFFECTIVE DATE: 2001-05-21 00:00:00 REALIGNED FROM: ZZ ABILENE, KS (CBOC)
IDENTIFIER	CODING SYSTEM: NPI ID: 1376593236 CODING SYSTEM: VASTANUM ID: 589GK CODING SYSTEM: CLIA ID: 12345