DEVILS LAKE VA CBOC (3378) INSTITUTION (4)

Name	Value
NAME	DEVILS LAKE VA CBOC
STATE	NORTH DAKOTA
STREET ADDR. 1	1031 7th STREET NORTHEAST
CITY	DEVILS LAKE
ZIP	58301-2719
OFFICIAL VA NAME	DEVILS LAKE VA CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: FARGO VA HCS
BILLING FACILITY NAME	DEVILS LAKE VA CBOC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1851796072
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	437GL
IDENTIFIER	CODING SYSTEM: CLIA ID: 35D2078043