CEDAR RAPIDS CBOC (3853) INSTITUTION (4)

Name	Value
NAME	CEDAR RAPIDS CBOC
STATE	IOWA
STREET ADDR. 1	3500 DALTON WAY SW, STE 300
CITY	CEDAR RAPIDS
ZIP	52404-2564
OFFICIAL VA NAME	CEDAR RAPIDS CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: IOWA CITY HCS
BILLING FACILITY NAME	CEDAR RAPIDS VA CLINIC
EFFECTIVE DATE/TIME	2009-04-01 00:00:00 STATUS: ACTIVE NPI: 1417182395
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	636GN
IDENTIFIER	CODING SYSTEM: CLIA ID: 16D1105710