GEORGETOWN CBOC (3530) INSTITUTION (4)

Name	Value
NAME	GEORGETOWN CBOC
STATE	OHIO
STREET ADDR. 1	474 HOME STREET
CITY	GEORGETOWN
ZIP	45121-1459
OFFICIAL VA NAME	GEORGETOWN CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: CINCINNATI
BILLING FACILITY NAME	GEORGETOWN VA CLINIC
EFFECTIVE DATE/TIME	2012-10-22 00:00:00 STATUS: ACTIVE NPI: 1417200023
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	539GF