| NAME |
MAX J. BEILKE CBOC |
| STATE |
MINNESOTA |
| STREET ADDR. 1 |
410 30TH AVE E |
| CITY |
ALEXANDRIA |
| ZIP |
56308-4769 |
| OFFICIAL VA NAME |
MAX J. BEILKE CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ALEXANDRIA VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2009-07-29 00:00:00
- STATUS: ACTIVE
- NPI: 1942431242
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
656GC |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 515 22nd AVENUE E.
- CITY (CHANGED FROM): ALEXANDRIA
- STATE (CHANGED FROM): MINNESOTA
- ZIP (CHANGED FROM): 56308-4652
|
