LAS VEGAS (CBOC) (1109)    INSTITUTION (4)

Name Value
NAME LAS VEGAS (CBOC)
STATE NEW MEXICO
STREET ADDR. 1 624 UNIVERSITY AVENUE
CITY LAS VEGAS
ZIP 87701-4278
OFFICIAL VA NAME LAS VEGAS (CBOC)
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LAS VEGAS VA CBOC
ST. ADDR. 1 (MAILING) 624 UNIVERSITY AVENUE
CITY (MAILING) LAS VEGAS
STATE (MAILING) NEW MEXICO
ZIP (MAILING) 87701-4278
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1053353102
TAXONOMY CODE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 501G2
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1053353102
  • CODING SYSTEM:   VASTANUM
    ID:   501G2