HAYS CBOC (2089)    INSTITUTION (4)

Name Value
NAME HAYS CBOC
STATE KANSAS
STREET ADDR. 1 4107 VINE ST
CITY HAYS
ZIP 67601-9482
OFFICIAL VA NAME HAYS CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME HAYS VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1326094376
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 589G4
HISTORY
  • EFFECTIVE DATE:   2001-10-01 00:00:00
    REALIGNED FROM:   ZZ HAYS CBOC
  • STREET ADDR. 1 (CHANGED FROM):   207 B EAST SEVENTH
    CITY (CHANGED FROM):   HAYS
    STATE (CHANGED FROM):   KANSAS
    ZIP (CHANGED FROM):   67601-4152
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1326094376
  • CODING SYSTEM:   VASTANUM
    ID:   589G4
  • CODING SYSTEM:   CLIA
    ID:   17D1013940