SHAKOPEE CBOC (3774) INSTITUTION (4)

Name	Value
NAME	SHAKOPEE CBOC
STATE	MINNESOTA
STREET ADDR. 1	1555 LUSITANO ST
CITY	SHAKOPEE
ZIP	55379-9998
OFFICIAL VA NAME	SHAKOPEE CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: MINNEAPOLIS VA HCS
BILLING FACILITY NAME	SHAKOPEE VA CLINIC
EFFECTIVE DATE/TIME	2014-06-02 00:00:00 STATUS: ACTIVE NPI: 1932529351
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	618GJ