JAY CBOC (3599)    INSTITUTION (4)

Name Value
NAME JAY CBOC
STATE OKLAHOMA
STREET ADDR. 1 1569 NORTH MAIN ST
CITY JAY
ZIP 74346-2903
OFFICIAL VA NAME JAY CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME JAY VA CBOC
EFFECTIVE DATE/TIME
  • 2009-10-19 00:00:00
    STATUS:   ACTIVE
    NPI:   1659607570
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
STATION NUMBER 564GE