ADA CBOC (2099)    INSTITUTION (4)

Name Value
NAME ADA CBOC
STATE OKLAHOMA
STREET ADDR. 1 717 BETTER NOW PLAZA
CITY ADA
ZIP 74820-2279
OFFICIAL VA NAME ADA CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME ADA VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-09-24 00:00:00
    STATUS:   ACTIVE
    NPI:   1982738852
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 635GD
IDENTIFIER
  • CODING SYSTEM:   VASTANUM
    ID:   635GD