SHENANDOAH VA CBOC (3855) INSTITUTION (4)

Name	Value
NAME	SHENANDOAH VA CBOC
STATE	IOWA
STREET ADDR. 1	2043 A AVE
CITY	SHENANDOAH
ZIP	51601-4505
OFFICIAL VA NAME	SHENANDOAH CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: VA NWIHS, OMAHA DIVISION
BILLING FACILITY NAME	SHENANDOAH VA CLINIC
EFFECTIVE DATE/TIME	2008-10-01 00:00:00 STATUS: ACTIVE NPI: 1811149529
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	636GP