MURFREESBORO CMOP (979)    INSTITUTION (4)

Name Value
NAME MURFREESBORO CMOP
STATE TENNESSEE
STREET ADDR. 1 5171 SAM JARED DRIVE
CITY MURFREESBORO
ZIP 37130-1382
OFFICIAL VA NAME MID-SOUTH CMOP
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MURFREESBORO - VA CMOP
ST. ADDR. 1 (MAILING) 5171 SAM JARED DRIVE
CITY (MAILING) MURFREESBORO
STATE (MAILING) TENNESSEE
ZIP (MAILING) 37130-1382
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1689622458
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 764
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1689622458
  • CODING SYSTEM:   VASTANUM
    ID:   764