BELLEVUE VA CBOC (3851) INSTITUTION (4)

Name	Value
NAME	BELLEVUE VA CBOC
STATE	NEBRASKA
STREET ADDR. 1	2206 LONGO DRIVE
CITY	BELLEVUE
ZIP	68005-2901
OFFICIAL VA NAME	BELLEVUE VA CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: VA NWIHS, OMAHA DIVISION
BILLING FACILITY NAME	BELLEVUE VA CBOC
EFFECTIVE DATE/TIME	2008-10-01 00:00:00 STATUS: ACTIVE NPI: 1023269818
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	636GL