EXCELSIOR SPRINGS CBOC (3685)    INSTITUTION (4)

Name Value
NAME EXCELSIOR SPRINGS CBOC
STATE MISSOURI
STREET ADDR. 1 197 S MCCLEARY RD
CITY EXCELSIOR SPRINGS
ZIP 64024-9998
OFFICIAL VA NAME EXCELSIOR SPRINGS CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME EXCELSIOR SPRINGS VA CLINIC
EFFECTIVE DATE/TIME
  • 2010-04-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1891018172
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 589JB