BRANSON CBOC (3597)    INSTITUTION (4)

Name Value
NAME BRANSON CBOC
STATE MISSOURI
STREET ADDR. 1 5571 GRETNA ROAD
CITY BRANSON
ZIP 65616-7287
OFFICIAL VA NAME BRANSON CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BRANSON VA CBOC
EFFECTIVE DATE/TIME
  • 2008-09-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1609024058
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 564GC