NAME |
CHEYENNE VA MEDICAL |
STATE |
WYOMING |
STREET ADDR. 1 |
2360 E PERSHING BLVD |
CITY |
CHEYENNE |
ZIP |
82001-5356 |
OFFICIAL VA NAME |
CHEYENNE VA MEDICAL |
STATUS |
National |
ASSOCIATIONS |
|
BILLING FACILITY NAME |
CHEYENNE VAMC |
ST. ADDR. 1 (MAILING) |
2360 E PERSHING BLVD |
CITY (MAILING) |
CHEYENNE |
STATE (MAILING) |
WYOMING |
ZIP (MAILING) |
82001-5356 |
EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1164471991
|
TAXONOMY CODE |
|
LOCATION TIMEZONE |
MOUNTAIN |
COUNTRY |
USA |
AGENCY CODE |
VA |
POINTER TO AGENCY |
VA |
STATION NUMBER |
442 |
HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 2360 E PERSHING BLVD
- STREET ADDR. 2 (CHANGED FROM): 2360 East Pershing Boulevard
- CITY (CHANGED FROM): CHEYENNE
- STATE (CHANGED FROM): WYOMING
- ZIP (CHANGED FROM): 82001-5356
|
IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1164471991
-
- CODING SYSTEM: VASTANUM
- ID: 442
-
- CODING SYSTEM: CLIA
- ID: 53D0987838
|