LANCASTER CMOP (827)    INSTITUTION (4)

Name Value
NAME LANCASTER CMOP
STATE TEXAS
STREET ADDR. 1 2962 S. LONGHORN
CITY LANCASTER
ZIP 75134-2118
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME DALLAS - VA CMOP
EFFECTIVE DATE/TIME
  • 2007-10-29 00:00:00
    STATUS:   ACTIVE
    NPI:   1184672941
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 763
IDENTIFIER
  • CODING SYSTEM:   VASTANUM
    ID:   763