YOUNGSTOWN CBOC (810)    INSTITUTION (4)

Name Value
NAME YOUNGSTOWN CBOC
STATE OHIO
STREET ADDR. 1 1815 BELMONT AVE
CITY YOUNGSTOWN
ZIP 44504-1106
OFFICIAL VA NAME YOUNGSTOWN CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME YOUNGSTOWN VA CLINIC
ST. ADDR. 1 (MAILING) 2031 BELMONT AVENUE
CITY (MAILING) YOUNGSTOWN
STATE (MAILING) OHIO
ZIP (MAILING) 44505-2401
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1831139203
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 541BZ
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1831139203
  • CODING SYSTEM:   VASTANUM
    ID:   541BZ
  • CODING SYSTEM:   CLIA
    ID:   36D0988531