HAYWARD CBOC (3773) INSTITUTION (4)

Name	Value
NAME	HAYWARD CBOC
STATE	WISCONSIN
STREET ADDR. 1	10369 STATE HIGHWAY 27
CITY	HAYWARD
ZIP	54843-9998
OFFICIAL VA NAME	HAYWARD CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: MINNEAPOLIS VA HCS
BILLING FACILITY NAME	HAYWARD VA CLINIC
ST. ADDR. 1 (MAILING)	2700A COLLEGE DRIVE
CITY (MAILING)	RICE LAKE
STATE (MAILING)	WISCONSIN
ZIP (MAILING)	54868-2449
EFFECTIVE DATE/TIME	2007-09-19 00:00:00 STATUS: ACTIVE NPI: 1235320912
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	618GH