KNOXVILLE CBOC (3857)    INSTITUTION (4)

Name Value
NAME KNOXVILLE CBOC
STATE IOWA
STREET ADDR. 1 1607 N LINCOLN ST
CITY KNOXVILLE
ZIP 50138-3455
OFFICIAL VA NAME KNOXVILLE CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME KNOXVILLE VA CLINIC
EFFECTIVE DATE/TIME
  • 2009-12-15 00:00:00
    STATUS:   ACTIVE
    NPI:   1821312109
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 636GR