CHARLESTON CMOP (981)    INSTITUTION (4)

Name Value
NAME CHARLESTON CMOP
STATE SOUTH CAROLINA
STREET ADDR. 1 3725 RIVERS AVE.
CITY NORTH CHARLESTON
ZIP 29405-7038
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CHARLESTON - VA CMOP
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1063460137
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 766
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1063460137
  • CODING SYSTEM:   VASTANUM
    ID:   766