CHANUTE VA CLINIC (2043)    INSTITUTION (4)

Name Value
NAME CHANUTE VA CLINIC
STATE KANSAS
STREET ADDR. 1 629 SOUTH PLUMMER
CITY CHANUTE
ZIP 66720-1928
OFFICIAL VA NAME CHANUTE VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CHANUTE VA CLINIC
ST. ADDR. 1 (MAILING) 629 SOUTH PLUMMER
CITY (MAILING) CHANUTE
STATE (MAILING) KANSAS
ZIP (MAILING) 66720-1928
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1790736437
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 589GM
HISTORY
  • EFFECTIVE DATE:   2001-05-21 00:00:00
    REALIGNED FROM:   ZZ CHANUTE CBOC
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1790736437
  • CODING SYSTEM:   VASTANUM
    ID:   589GM