ZZ-WINCHENDON (2158)    INSTITUTION (4)

Name Value
NAME ZZ-WINCHENDON
STATE MASSACHUSETTS
STREET ADDR. 1 59 MURDOCK AVE
CITY WINCHENDON
ZIP 01475-9998
OFFICIAL VA NAME WINCHEDON 518GC
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME WINCHENDON VA CBOC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1093746356
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 518GC
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1093746356
  • CODING SYSTEM:   VASTANUM
    ID:   518GC