| NAME |
ZZ-HENDERSON CBOC |
| STATE |
NEVADA |
| STREET ADDR. 1 |
2920 NORTH GREEN VALLEY PKWY STE 215 |
| CITY |
HENDERSON |
| ZIP |
89014-0406 |
| OFFICIAL VA NAME |
HENDERSON CBOC |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
HENDERSON VA CBOC |
| ST. ADDR. 1 (MAILING) |
P.O. Box 360001 |
| CITY (MAILING) |
NORTH LAS VEGAS |
| STATE (MAILING) |
NEVADA |
| ZIP (MAILING) |
89036 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1053367011
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
593GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1053367011
-
- CODING SYSTEM: VASTANUM
- ID: 593GB
|
