| NAME |
SPRINGFIELD |
| STATE |
MASSACHUSETTS |
| STREET ADDR. 1 |
25 BOND STREET |
| CITY |
SPRINGFIELD |
| ZIP |
01104-3401 |
| OFFICIAL VA NAME |
SPRINGFIELD OPC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
SPRINGFIELD VA CBOC |
| ST. ADDR. 1 (MAILING) |
25 BOND STREET |
| CITY (MAILING) |
SPRINGFIELD |
| STATE (MAILING) |
MASSACHUSETTS |
| ZIP (MAILING) |
01104-3401 |
| EFFECTIVE DATE/TIME |
-
- 2007-10-29 00:00:00
- STATUS: ACTIVE
- NPI: 1982642823
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
631BY |
| IDENTIFIER |
-
- CODING SYSTEM: VASTANUM
- ID: 631BY
-
- CODING SYSTEM: CLIA
- ID: 22D0986914
|
