ZZ-MARLIN CBOC (2199)    INSTITUTION (4)

Name Value
NAME ZZ-MARLIN CBOC
STATE TEXAS
STREET ADDR. 1 1016 WARD ST
CITY MARLIN
ZIP 76661-2175
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MARLIN VA CBOC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1356398192
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
STATION NUMBER 674GE
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1356398192
  • CODING SYSTEM:   VASTANUM
    ID:   674GE