MONTROSE CBOC (1435)    INSTITUTION (4)

Name Value
NAME MONTROSE CBOC
STATE COLORADO
STREET ADDR. 1 154 COLORADO AVE., #100
CITY MONTROSE
ZIP 81401-3600
OFFICIAL VA NAME MONTROSE CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MONTROSE VA CLINIC
ST. ADDR. 1 (MAILING) 4 HILLCREST PLAZA WAY
CITY (MAILING) MONTROSE
STATE (MAILING) COLORADO
ZIP (MAILING) 81401-5876
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1144268731
TAXONOMY CODE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 575GA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1144268731
  • CODING SYSTEM:   VASTANUM
    ID:   575GA