VINE HILL CBOC (2212)    INSTITUTION (4)

Name Value
NAME VINE HILL CBOC
STATE TENNESSEE
STREET ADDR. 1 601 BENTON AVE
CITY NASHVILLE
ZIP 37204-2303
OFFICIAL VA NAME Vine Hill CBOC
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME VINE HILL VA CBOC
ST. ADDR. 1 (MAILING) 601 BENTON AVE
CITY (MAILING) NASHVILLE
STATE (MAILING) TENNESSEE
ZIP (MAILING) 37204-2303
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1619917440
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 626GI
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1619917440
  • CODING SYSTEM:   VASTANUM
    ID:   626GI