OTTUMWA CBOC (3858) INSTITUTION (4)

Name	Value
NAME	OTTUMWA CBOC
STATE	IOWA
STREET ADDR. 1	1020 N QUINCY AVE STE 1
CITY	OTTUMWA
ZIP	52501-3821
OFFICIAL VA NAME	OTTUMWA CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: IOWA CITY HCS
BILLING FACILITY NAME	OTTUMWA VA CLINIC
EFFECTIVE DATE/TIME	2010-10-04 00:00:00 STATUS: ACTIVE NPI: 1932418316
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	636GS
IDENTIFIER	CODING SYSTEM: CLIA ID: 16D2012187