BRATTLEBORO CBOC (3360) INSTITUTION (4)

Name	Value
NAME	BRATTLEBORO CBOC
STATE	VERMONT
STREET ADDR. 1	71 GSP DRIVE
CITY	BRATTLEBORO
ZIP	05301-4452
OFFICIAL VA NAME	BRATTLEBORO CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 1 PARENT FACILITY PARENT OF ASSOCIATION: WHITE RIVER JCT VAMROC
BILLING FACILITY NAME	BRATTLEBORO VA CBOC
EFFECTIVE DATE/TIME	2010-06-03 00:00:00 STATUS: ACTIVE NPI: 1760702765
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	405GC