BEMIDJI CBOC (3371) INSTITUTION (4)

Name	Value
NAME	BEMIDJI CBOC
STATE	MINNESOTA
STREET ADDR. 1	1217 ANNE STREET NW
CITY	BEMIDJI
ZIP	56601-5113
OFFICIAL VA NAME	BEMIDJI CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: FARGO VA HCS
BILLING FACILITY NAME	BEMIDJI VA CLINIC
EFFECTIVE DATE/TIME	2007-10-09 00:00:00 STATUS: ACTIVE NPI: 1346437944
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	437GE
IDENTIFIER	CODING SYSTEM: CLIA ID: 24D1069831