STAUNTON CBOC (3957)    INSTITUTION (4)

Name Value
NAME STAUNTON CBOC
STATE VIRGINIA
STREET ADDR. 1 102 LACY B KING WAY
CITY STAUNTON
ZIP 24401-4594
OFFICIAL VA NAME STAUNTON CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME STAUNTON VA CLINIC
EFFECTIVE DATE/TIME
  • 2015-03-13 00:00:00
    STATUS:   ACTIVE
    NPI:   1982986006
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 658GD
IDENTIFIER
  • CODING SYSTEM:   CLIA
    ID:   49D2031335