| NAME |
NEW PHILADELPHIA CBOC |
| STATE |
OHIO |
| STREET ADDR. 1 |
1260 MONROE ST NW STE 1A |
| CITY |
NEW PHILADELPHIA |
| ZIP |
44663-4147 |
| OFFICIAL VA NAME |
NEW PHILADELPHIA CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
NEW PHILADELPHIA VA CLINIC |
| ST. ADDR. 1 (MAILING) |
1260 MONROE AVE, SUITE 15H |
| CITY (MAILING) |
NEW PHILADELPHIA |
| STATE (MAILING) |
OHIO |
| ZIP (MAILING) |
44663-4160 |
| EFFECTIVE DATE/TIME |
-
- 2007-03-26 00:00:00
- STATUS: ACTIVE
- NPI: 1205983228
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
541GJ |
| IDENTIFIER |
-
- CODING SYSTEM: VASTANUM
- ID: 541GJ
-
- CODING SYSTEM: CLIA
- ID: 36D1011858
|
