| 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
|