| NAME |
WARRENSBURG VA CLINIC |
| STATE |
MISSOURI |
| STREET ADDR. 1 |
702 E. YOUNG AVE |
| CITY |
Warrensburg |
| ZIP |
64093-9610 |
| OFFICIAL VA NAME |
WARRENSBURG MO CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
WARRENSBURG VA CLINIC |
| ST. ADDR. 1 (MAILING) |
702 E. YOUNG AVE |
| CITY (MAILING) |
WARRENSBURG |
| STATE (MAILING) |
MISSOURI |
| ZIP (MAILING) |
64093-9610 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1609818459
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
589G1 |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1609818459
-
- CODING SYSTEM: VASTANUM
- ID: 589G1
-
- CODING SYSTEM: CLIA
- ID: 26D1005876
|
