NAME |
HOUMA CBOC |
STATE |
LOUISIANA |
STREET ADDR. 1 |
6433 WEST PARK AVENUE |
CITY |
HOUMA |
ZIP |
70364-2238 |
OFFICIAL VA NAME |
HOUMA CBOC |
STATUS |
National |
ASSOCIATIONS |
|
BILLING FACILITY NAME |
HOUMA VA CLINIC |
ST. ADDR. 1 (MAILING) |
1750 MARTIN LUTHER KING JR BLVD STE 107 |
CITY (MAILING) |
HOUMA |
STATE (MAILING) |
LOUISIANA |
ZIP (MAILING) |
70360-2645 |
EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1245286277
|
TAXONOMY CODE |
|
LOCATION TIMEZONE |
CENTRAL |
COUNTRY |
USA |
AGENCY CODE |
VA |
POINTER TO AGENCY |
VA |
STATION NUMBER |
629GA |
IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1245286277
-
- CODING SYSTEM: VASTANUM
- ID: 629GA
|