ZZ-MT PLEASANT CBOC (3769)    INSTITUTION (4)

Name Value
NAME ZZ-MT PLEASANT CBOC
STATE MISSISSIPPI
STREET ADDR. 1 154 MT. PLEASANT ROAD
CITY MT. PLEASANT
ZIP 38635-9332
OFFICIAL VA NAME MT PLEASANT CBOC
INACTIVE FACILITY FLAG INACTIVE
STATUS National
BILLING FACILITY NAME MT. PLEASANT VA CBOC
EFFECTIVE DATE/TIME
  • 2008-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1134370885
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 614GM