HARRISBURG CBOC (3942) INSTITUTION (4)

Name	Value
NAME	HARRISBURG CBOC
STATE	ILLINOIS
STREET ADDR. 1	608 ROLLIE MOORE DRIVE
CITY	HARRISBURG
ZIP	62946-9998
OFFICIAL VA NAME	HARRISBURG VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 15 PARENT FACILITY PARENT OF ASSOCIATION: MARION IL VAMC
BILLING FACILITY NAME	HARRISBURG VA CBOC
EFFECTIVE DATE/TIME	2012-03-19 00:00:00 STATUS: ACTIVE NPI: 1497012652
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	657GU