ZZ-ST CHARLES CBOC (2074)    INSTITUTION (4)

Name Value
NAME ZZ-ST CHARLES CBOC
STATE VIRGINIA
STREET ADDR. 1 100 MAIN ST
CITY ST. CHARLES
ZIP 24282
OFFICIAL VA NAME ST CHARLES CBOC
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
ST. ADDR. 1 (MAILING) 100 MAIN ST
CITY (MAILING) ST. CHARLES
STATE (MAILING) VIRGINIA
ZIP (MAILING) 24282
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1992743157
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 621GD
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1992743157
  • CODING SYSTEM:   VASTANUM
    ID:   621GD