| NAME |
STILLWATER CBOC |
| STATE |
OKLAHOMA |
| STREET ADDR. 1 |
320 N PERKINS AVENUE |
| CITY |
STILLWATER |
| ZIP |
74075-5513 |
| OFFICIAL VA NAME |
STILLWATER CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
STILLWATER VA CBOC |
| ST. ADDR. 1 (MAILING) |
320 N PERKINS AVENUE |
| CITY (MAILING) |
STILLWATER |
| STATE (MAILING) |
OKLAHOMA |
| ZIP (MAILING) |
74075-5513 |
| EFFECTIVE DATE/TIME |
-
- 2009-08-17 00:00:00
- STATUS: ACTIVE
- NPI: 1831329184
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
635GE |
| IDENTIFIER |
-
- CODING SYSTEM: CLIA
- ID: 37D2035166
|
