| NAME |
ZZ-WARSAW CBOC |
| STATE |
NEW YORK |
| STREET ADDR. 1 |
400 NORTH MAIN ST |
| STREET ADDR. 2 |
Wyoming County Community Hospital |
| CITY |
Warsaw |
| ZIP |
14569-1025 |
| OFFICIAL VA NAME |
WARSAW |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
WARSAW VA CBOC |
| ST. ADDR. 1 (MAILING) |
400 NORTH MAIN ST |
| ST. ADDR. 2 (MAILING) |
Wyoming County Community Hospital |
| CITY (MAILING) |
Warsaw |
| STATE (MAILING) |
NEW YORK |
| ZIP (MAILING) |
14569-1025 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1669412482
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
528J1 |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1669412482
-
- CODING SYSTEM: VASTANUM
- ID: 528J1
|
