MCCOMB CBOC - EFF 010111 (3673) INSTITUTION (4)

Name	Value
NAME	MCCOMB CBOC - EFF 010111
STATE	MISSISSIPPI
STREET ADDR. 1	1308 HARRISON AVE
CITY	MCCOMB
ZIP	39648-2830
OFFICIAL VA NAME	MCCOMB CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 16 PARENT FACILITY PARENT OF ASSOCIATION: JACKSON VAMC
BILLING FACILITY NAME	MCCOMB VA CBOC
ST. ADDR. 1 (MAILING)	1308 HARRISON AVE
CITY (MAILING)	MCCOMB
STATE (MAILING)	MISSISSIPPI
ZIP (MAILING)	39216-2830
EFFECTIVE DATE/TIME	2011-01-01 00:00:00 STATUS: ACTIVE NPI: 1467762120
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	586GG