| NAME |
PINE BLUFF CBOC |
| STATE |
ARKANSAS |
| STREET ADDR. 1 |
2906 MARKET ST |
| CITY |
PINE BLUFF |
| ZIP |
71601-6881 |
| OFFICIAL VA NAME |
PINE BLUFF CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
PINE BLUFF VA CLINIC |
| ST. ADDR. 1 (MAILING) |
4747 Dusty Lake Drive, Suite 203 |
| CITY (MAILING) |
PINE BLUFF |
| STATE (MAILING) |
ARKANSAS |
| ZIP (MAILING) |
71603-9058 |
| EFFECTIVE DATE/TIME |
-
- 2008-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1548457146
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
598GE |
