HINES, IL (CMOP) (980)    INSTITUTION (4)

Name Value
NAME HINES, IL (CMOP)
STATE ILLINOIS
STREET ADDR. 1 5TH & ROOSEVELT
CITY HINES
ZIP 60141-3030
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME HINES - VA CMOP
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1700834116
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 765
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1700834116
  • CODING SYSTEM:   VASTANUM
    ID:   765