| NAME |
FARMINGTON VA CLINIC |
| STATE |
NEW MEXICO |
| STREET ADDR. 1 |
3605 ENGLISH ROAD |
| CITY |
FARMINGTON |
| ZIP |
87402-8303 |
| OFFICIAL VA NAME |
FARMINGTON VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
FARMINGTON VA CBOC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1770536641
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
501GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1770536641
-
- CODING SYSTEM: VASTANUM
- ID: 501GB
-
- CODING SYSTEM: CLIA
- ID: 32D0987871
|
