HINESVILLE CBOC (3513)    INSTITUTION (4)

Name Value
NAME HINESVILLE CBOC
STATE GEORGIA
STREET ADDR. 1 500 EAST OGLETHORPE HIGHWAY
CITY HINESVILLE
ZIP 31313-2804
OFFICIAL VA NAME HINESVILLE CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME HINESVILLE VA CLINIC
EFFECTIVE DATE/TIME
  • 2011-06-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1427344308
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 534GE
IDENTIFIER
  • CODING SYSTEM:   CLIA
    ID:   11D2028001