RICE LAKE VA CBOC (3777) INSTITUTION (4)

Name	Value
NAME	RICE LAKE VA CBOC
STATE	WISCONSIN
STREET ADDR. 1	320 S ACCESS RD STE 100
CITY	RICE LAKE
ZIP	54868-8572
OFFICIAL VA NAME	RICE LAKE VA CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: MINNEAPOLIS VA HCS
BILLING FACILITY NAME	RICE LAKE VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1124436191
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	618GM