| NAME |
DECATUR |
| STATE |
ALABAMA |
| STREET ADDR. 1 |
8075 MADISON BLVD, SUITE 101 |
| CITY |
Madison |
| ZIP |
35758-2041 |
| OFFICIAL VA NAME |
DECATUR CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
MADISON VA CBOC |
| ST. ADDR. 1 (MAILING) |
8075 MADISON BLVD, SUITE 101 |
| CITY (MAILING) |
Madison |
| STATE (MAILING) |
ALABAMA |
| ZIP (MAILING) |
35758-2041 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1073566741
-
- 2021-06-27 00:00:00
- STATUS: INACTIVE
- NPI: 1073566741
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
521GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1073566741
-
- CODING SYSTEM: VASTANUM
- ID: 521GB
|
