| NAME |
OWENSBORO KY CBOC |
| STATE |
KENTUCKY |
| STREET ADDR. 1 |
2060 E PARRISH AVE |
| CITY |
OWENSBORO |
| ZIP |
42303-9998 |
| OFFICIAL VA NAME |
OWENSBORO VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
OWENSBORO VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2008-09-02 00:00:00
- STATUS: ACTIVE
- NPI: 1407005481
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
657GP |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 3400 NEW HARTFORD ROAD
- CITY (CHANGED FROM): OWENSBORO
- STATE (CHANGED FROM): KENTUCKY
- ZIP (CHANGED FROM): 42303-1705
|
