| NAME |
VINITA CBOC |
| STATE |
OKLAHOMA |
| STREET ADDR. 1 |
27371 S 4410 RD |
| CITY |
VINITA |
| ZIP |
74301-7953 |
| OFFICIAL VA NAME |
VINITA CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
VINITA VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2009-11-02 00:00:00
- STATUS: ACTIVE
- NPI: 1740517275
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
623GB |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 269 S. 7TH STREET
- CITY (CHANGED FROM): VINITA
- STATE (CHANGED FROM): OKLAHOMA
- ZIP (CHANGED FROM): 74301-3737
|
