BELLEVUE (1285)    INSTITUTION (4)

Name Value
NAME BELLEVUE
STATE KENTUCKY
STREET ADDR. 1 103 LANDMARK DR #3 FLOOR
CITY BELLEVUE
ZIP 41073-1393
OFFICIAL VA NAME BELLEVUE CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BELLEVUE VA CBOC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1144271016
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 539GA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1144271016
  • CODING SYSTEM:   VASTANUM
    ID:   539GA