NAME |
ZZ-SOUTH BRONX CBOC |
STATE |
NEW YORK |
STREET ADDR. 1 |
953 SOUTHERN BLVD. |
CITY |
BRONX |
ZIP |
10459 |
OFFICIAL VA NAME |
SOUTH BRONX CLINIC |
INACTIVE FACILITY FLAG |
INACTIVE |
STATUS |
National |
ASSOCIATIONS |
|
BILLING FACILITY NAME |
SOUTH BRONX VA CBOC |
ST. ADDR. 1 (MAILING) |
953 SOUTHERN BLVD. |
CITY (MAILING) |
BRONX |
STATE (MAILING) |
NEW YORK |
ZIP (MAILING) |
10459 |
EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1689614018
|
TAXONOMY CODE |
|
LOCATION TIMEZONE |
EASTERN |
COUNTRY |
USA |
AGENCY CODE |
VA |
POINTER TO AGENCY |
VA |
STATION NUMBER |
526GC |
IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1689614018
-
- CODING SYSTEM: VASTANUM
- ID: 526GC
-
- CODING SYSTEM: CLIA
- ID: 33D1046041
|