| NAME |
GALLUP VA CLINIC |
| STATE |
NEW MEXICO |
| STREET ADDR. 1 |
2075 NM HWY 602 |
| CITY |
GALLUP |
| ZIP |
87301-9998 |
| OFFICIAL VA NAME |
GALLUP VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
GALLUP VA CLINIC |
| ST. ADDR. 1 (MAILING) |
520 STATE HWY 564 |
| CITY (MAILING) |
GALLUP |
| STATE (MAILING) |
NEW MEXICO |
| ZIP (MAILING) |
87301-4873 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1477509172
-
- 2015-05-05 00:00:00
- STATUS: ACTIVE
- NPI: 1477509172
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
501GD |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1477509172
-
- CODING SYSTEM: VASTANUM
- ID: 501GD
-
- CODING SYSTEM: CLIA
- ID: 32D0987869
|
