SEDALIA CBOC (3684) INSTITUTION (4)

Name	Value
NAME	SEDALIA CBOC
STATE	MISSOURI
STREET ADDR. 1	981 WINCHESTER DR
CITY	SEDALIA
ZIP	65301-2104
OFFICIAL VA NAME	SEDALIA CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 15 PARENT FACILITY PARENT OF ASSOCIATION: COLUMBIA, MO VAMC
BILLING FACILITY NAME	SEDALIA VA CLINIC
EFFECTIVE DATE/TIME	2010-04-01 00:00:00 STATUS: ACTIVE NPI: 1720301682
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	589JA
IDENTIFIER	CODING SYSTEM: CLIA ID: 26D2005359