DANBURY CBOC (2139)    INSTITUTION (4)

Name Value
NAME DANBURY CBOC
STATE CONNECTICUT
STREET ADDR. 1 7 GERMANTOWN ROAD, SUITE 2B
CITY DANBURY
ZIP 06810-5000
OFFICIAL VA NAME DANBURY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME DANBURY VA CBOC
ST. ADDR. 1 (MAILING) 7 GERMANTOWN ROAD, SUITE 2B
CITY (MAILING) DANBURY
STATE (MAILING) CONNECTICUT
ZIP (MAILING) 06810-5000
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1285686147
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 689GE
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1285686147
  • CODING SYSTEM:   VASTANUM
    ID:   689GE
  • CODING SYSTEM:   CLIA
    ID:   07D1010394