FORT COLLINS VA CLINIC (1058) INSTITUTION (4)

Name	Value
NAME	FORT COLLINS VA CLINIC
STATE	COLORADO
STREET ADDR. 1	2509 RESEARCH BLVD
CITY	FORT COLLINS
ZIP	80526-8108
OFFICIAL VA NAME	FORT COLLINS VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: CHEYENNE VA MEDICAL
BILLING FACILITY NAME	FORT COLLINS VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1528013083
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	442GC
IDENTIFIER	CODING SYSTEM: NPI ID: 1528013083 CODING SYSTEM: VASTANUM ID: 442GC