SILVER CITY VA CLINIC (1112)    INSTITUTION (4)

Name Value
NAME SILVER CITY VA CLINIC
STATE NEW MEXICO
STREET ADDR. 1 2950 LESLIE ROAD
CITY SILVER CITY
ZIP 88061-7212
OFFICIAL VA NAME SILVER CITY VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME SILVER CITY VA CBOC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1699713156
TAXONOMY CODE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 501GC
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1699713156
  • CODING SYSTEM:   VASTANUM
    ID:   501GC
  • CODING SYSTEM:   CLIA
    ID:   32D0987867