CLEVELAND AMBULATORY CTR CBOC (3539) INSTITUTION (4)

Name	Value
NAME	CLEVELAND AMBULATORY CTR CBOC
STATE	OHIO
STREET ADDR. 1	8901 SUPERIOR AVE
CITY	CLEVELAND
ZIP	44106-9998
OFFICIAL VA NAME	CLEVELAND AMBULATORY CTR CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: CLEVELAND VAMC
BILLING FACILITY NAME	CLEVELAND VA CBOC
EFFECTIVE DATE/TIME	2014-03-01 00:00:00 STATUS: ACTIVE NPI: 1508267394
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	541GM
IDENTIFIER	CODING SYSTEM: CLIA ID: 36D2082105