| NAME |
LEWISTOWN CBOC |
| STATE |
MONTANA |
| STREET ADDR. 1 |
629 NE MAIN STREET (Hwy 87) |
| CITY |
LEWISTOWN |
| ZIP |
59457-2082 |
| OFFICIAL VA NAME |
LEWISTON CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
LEWISTOWN VA CLINIC |
| ST. ADDR. 1 (MAILING) |
629 NE MAIN STREET (Hwy 87) |
| CITY (MAILING) |
LEWISTOWN |
| STATE (MAILING) |
MONTANA |
| ZIP (MAILING) |
59457-2082 |
| EFFECTIVE DATE/TIME |
-
- 2008-03-04 00:00:00
- STATUS: ACTIVE
- NPI: 1124296991
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| STATION NUMBER |
436GM |
| IDENTIFIER |
-
- CODING SYSTEM: CLIA
- ID: 27D1082637
|
