ZZ-HOLTON CBOC (2049)    INSTITUTION (4)

Name Value
NAME ZZ-HOLTON CBOC
STATE KANSAS
STREET ADDR. 1 1110 COLUMBINE DRIVE
CITY HOLTON
ZIP 66436
OFFICIAL VA NAME HOLTON CBOC
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME HOLTON VA CBOC
ST. ADDR. 1 (MAILING) 1110 COLUMBINE DRIVE
CITY (MAILING) HOLTON
STATE (MAILING) KANSAS
ZIP (MAILING) 66436
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1710927389
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 589GQ
HISTORY
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1710927389
  • CODING SYSTEM:   VASTANUM
    ID:   589GQ