| NAME |
ZZ-MARTHA'S VINEYARD |
| STATE |
MASSACHUSETTS |
| STREET ADDR. 1 |
55 SIMPSON LN |
| CITY |
EDGARTOWN |
| ZIP |
02539-8150 |
| OFFICIAL VA NAME |
MARTHA'S VINEYARD CBOC |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
EDGARTOWN VA CBOC |
| ST. ADDR. 1 (MAILING) |
55 SIMPSON LN |
| CITY (MAILING) |
EDGARTOWN |
| STATE (MAILING) |
MASSACHUSETTS |
| ZIP (MAILING) |
02539-8150 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1700833282
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
650GC |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1700833282
-
- CODING SYSTEM: VASTANUM
- ID: 650GC
|
