ALBERT LEA CBOC (3775) INSTITUTION (4)

Name	Value
NAME	ALBERT LEA CBOC
STATE	MINNESOTA
STREET ADDR. 1	2115 E Main St
CITY	ALBERT LEA
ZIP	56007-3920
OFFICIAL VA NAME	ALBERT LEA CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: MINNEAPOLIS VA HCS
BILLING FACILITY NAME	ALBERT LEA VA CLINIC
EFFECTIVE DATE/TIME	2014-04-01 00:00:00 STATUS: ACTIVE NPI: 1063839033
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	618GK