CHILDERSBURG CBOC (3475) INSTITUTION (4)

Name	Value
NAME	CHILDERSBURG CBOC
STATE	ALABAMA
STREET ADDR. 1	151 9TH AVE NW
CITY	CHILDERSBURG
ZIP	35044-1231
OFFICIAL VA NAME	CHILDERSBURG CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 7 PARENT FACILITY PARENT OF ASSOCIATION: BIRMINGHAM VAMC
BILLING FACILITY NAME	CHILDERSBURG VA CLINIC
EFFECTIVE DATE/TIME	2009-04-15 00:00:00 STATUS: ACTIVE NPI: 1255574729
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	521GH
IDENTIFIER	CODING SYSTEM: CLIA ID: 01D2008803