| NAME |
RAINBOW CITY CBOC |
| STATE |
ALABAMA |
| STREET ADDR. 1 |
206 RESCIA AVE |
| CITY |
GADSDEN |
| ZIP |
35906-5933 |
| OFFICIAL VA NAME |
RAINBOW CITY CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
GADSEN VA CLINIC |
| ST. ADDR. 1 (MAILING) |
206 RESCIA AVE |
| CITY (MAILING) |
GADSDEN |
| STATE (MAILING) |
ALABAMA |
| ZIP (MAILING) |
35906-5933 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1063450195
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
521GD |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1063450195
-
- CODING SYSTEM: VASTANUM
- ID: 521GD
-
- CODING SYSTEM: CLIA
- ID: 01D1015347
|
