LEWISTON AUBURN CBOC (3354) INSTITUTION (4)

Name	Value
NAME	LEWISTON AUBURN CBOC
STATE	MAINE
STREET ADDR. 1	15 CHALLENGER DRIV
CITY	LEWISTON
ZIP	04240-1041
OFFICIAL VA NAME	LEWISTON AUBURN CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 1 PARENT FACILITY PARENT OF ASSOCIATION: VA MAINE HCS
BILLING FACILITY NAME	LEWISTON AUBURN VA CBOC
EFFECTIVE DATE/TIME	2010-04-12 00:00:00 STATUS: ACTIVE NPI: 1770809691
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	402GE