ZZ-DICKINSON CBOC (3374) INSTITUTION (4)

Name	Value
NAME	ZZ-DICKINSON CBOC
STATE	NORTH DAKOTA
STREET ADDR. 1	528 21ST ST., W- SUITE F
CITY	DICKINSON
ZIP	58601-2661
OFFICIAL VA NAME	DICKINSON CBOC
INACTIVE FACILITY FLAG	INACTIVE
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: FARGO VA HCS
BILLING FACILITY NAME	DICKINSON VA CBOC
EFFECTIVE DATE/TIME	2011-03-23 00:00:00 STATUS: ACTIVE NPI: 1912290586
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
STATION NUMBER	437GH