| NAME |
ZZ-ALLIANCE |
| STATE |
NEBRASKA |
| STREET ADDR. 1 |
524 BOX BUTTE AVENUE |
| CITY |
ALLIANCE |
| ZIP |
69301 |
| OFFICIAL VA NAME |
ALLIANCE |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ALLIANCE VA CBOC |
| ST. ADDR. 1 (MAILING) |
524 BOX BUTTE AVENUE |
| CITY (MAILING) |
ALLIANCE |
| STATE (MAILING) |
NEBRASKA |
| ZIP (MAILING) |
69301 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1376594564
-
- 2017-06-07 00:00:00
- STATUS: ACTIVE
- NPI: 1234567893
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
568HC |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1376594564
-
- CODING SYSTEM: VASTANUM
- ID: 568HC
|
