| NAME |
ROCHESTER (CBOC) |
| STATE |
MINNESOTA |
| STREET ADDR. 1 |
3551 COMMERCIAL DRIVE SOUTH WEST |
| STREET ADDR. 2 |
SUITE 400 |
| CITY |
ROCHESTER |
| ZIP |
55902-2884 |
| OFFICIAL VA NAME |
ROCHESTER (CBOC) |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ROCHESTER VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1790723716
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
618GG |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1790723716
-
- CODING SYSTEM: VASTANUM
- ID: 618GG
-
- CODING SYSTEM: CLIA
- ID: 24D1016447
|
