BOLIVAR CBOC (3767)    INSTITUTION (4)

Name Value
NAME BOLIVAR CBOC
STATE TENNESSEE
STREET ADDR. 1 107 TENNESSEE ST
CITY BOLIVAR
ZIP 38008-1822
OFFICIAL VA NAME BOLIVAR CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BOLIVAR VA CBOC
ST. ADDR. 1 (MAILING) 107 TENNESSEE ST
CITY (MAILING) BOLIVAR
STATE (MAILING) TENNESSEE
ZIP (MAILING) 38008-1822
EFFECTIVE DATE/TIME
  • 2009-07-13 00:00:00
    STATUS:   ACTIVE
    NPI:   1871723452
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
STATION NUMBER 614GH