PARSONS CBOC (2090)    INSTITUTION (4)

Name Value
NAME PARSONS CBOC
STATE KANSAS
STREET ADDR. 1 1907 HARDING DRIVE
CITY PARSONS
ZIP 67357-8111
OFFICIAL VA NAME PARSONS CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME PARSONS VA CLINIC
ST. ADDR. 1 (MAILING) 1907 HARDING DRIVE
CITY (MAILING) PARSONS
STATE (MAILING) KANSAS
ZIP (MAILING) 67357-8111
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1235171083
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 589G5
HISTORY
  • EFFECTIVE DATE:   2001-10-01 00:00:00
    REALIGNED FROM:   ZZ PARSONS CBOC
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1235171083
  • CODING SYSTEM:   VASTANUM
    ID:   589G5
  • CODING SYSTEM:   CLIA
    ID:   17D1013939