RATON CBOC (1118)    INSTITUTION (4)

Name Value
NAME RATON CBOC
STATE NEW MEXICO
STREET ADDR. 1 1493 WHITTIER ST
CITY RATON
ZIP 87740-9998
OFFICIAL VA NAME RATON (CBOC)
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME RATON VA CBOC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1407894546
TAXONOMY CODE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 501HB
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1407894546
  • CODING SYSTEM:   VASTANUM
    ID:   501HB
  • CODING SYSTEM:   CLIA
    ID:   32D0987856