ARTESIA VA CLINIC (1110) INSTITUTION (4)

Name	Value
NAME	ARTESIA VA CLINIC
STATE	NEW MEXICO
STREET ADDR. 1	2410 WEST MAIN ST
CITY	ARTESIA
ZIP	88210-3716
OFFICIAL VA NAME	ARTESIA VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 22 PARENT FACILITY PARENT OF ASSOCIATION: RAYMOND G. MURPHY VAMC
BILLING FACILITY NAME	ARTESIA VA CBOC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1043261472
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	501GA
IDENTIFIER	CODING SYSTEM: NPI ID: 1043261472 CODING SYSTEM: VASTANUM ID: 501GA