| NAME |
RAVENNA CBOC |
| STATE |
OHIO |
| STREET ADDR. 1 |
6751 NORTH CHESTNUT STREET |
| CITY |
RAVENNA |
| ZIP |
44266-3903 |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
RAVENNA VA CBOC |
| ST. ADDR. 1 (MAILING) |
6751 NORTH CHESTNUT STREET |
| CITY (MAILING) |
RAVENNA |
| STATE (MAILING) |
OHIO |
| ZIP (MAILING) |
44266-3903 |
| EFFECTIVE DATE/TIME |
-
- 2007-03-26 00:00:00
- STATUS: ACTIVE
- NPI: 1124175153
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| STATION NUMBER |
541GK |
| IDENTIFIER |
-
- CODING SYSTEM: VASTANUM
- ID: 541GK
-
- CODING SYSTEM: CLIA
- ID: 36D1019054
|
