| NAME |
CAMERON CBOC |
| STATE |
MISSOURI |
| STREET ADDR. 1 |
311 LITTLE BRICK ST |
| CITY |
CAMERON |
| ZIP |
64429-1230 |
| OFFICIAL VA NAME |
CAMERON CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
CAMERON VA CLINIC |
| ST. ADDR. 1 (MAILING) |
1111 Euclid |
| CITY (MAILING) |
Cameron |
| STATE (MAILING) |
MISSOURI |
| ZIP (MAILING) |
64429-2005 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1518918127
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
589GZ |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1518918127
-
- CODING SYSTEM: VASTANUM
- ID: 589GZ
-
- CODING SYSTEM: CLIA
- ID: 26D1005934
|
