WIREGRASS CBOC (3781)    INSTITUTION (4)

Name Value
NAME WIREGRASS CBOC
STATE ALABAMA
STREET ADDR. 1 301 ANDREWS AVE
CITY FT RUCKER
ZIP 36362-7836
OFFICIAL VA NAME WIREGRASS CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME FT. RUCKER VA CLINIC
ST. ADDR. 1 (MAILING) 301 ANDREWS AVE
CITY (MAILING) FT RUCKER
STATE (MAILING) ALABAMA
ZIP (MAILING) 36362-7836
EFFECTIVE DATE/TIME
  • 2010-01-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1790015402
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
STATION NUMBER 619GD
IDENTIFIER
  • CODING SYSTEM:   CLIA
    ID:   01D2023158