ZZ-RUSSELL (2053)    INSTITUTION (4)

Name Value
NAME ZZ-RUSSELL
STATE KANSAS
STREET ADDR. 1 Medical Arts Building
CITY RUSSELL
ZIP 67665
OFFICIAL VA NAME ZZ-RUSSELL CBOC
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1104864834
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 589GS
HISTORY
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1104864834
  • CODING SYSTEM:   VASTANUM
    ID:   589GS