PAHRUMP CBOC (1484)    INSTITUTION (4)

Name Value
NAME PAHRUMP CBOC
STATE NEVADA
STREET ADDR. 1 220 SOUTH LOLA LANE
CITY PAHRUMP
ZIP 89048-0835
OFFICIAL VA NAME PAHRUMP CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME PAHRUMP VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1043251770
TAXONOMY CODE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE OTHER
POINTER TO AGENCY OTHER
STATION NUMBER 593GC
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1043251770
  • CODING SYSTEM:   VASTANUM
    ID:   593GC
  • CODING SYSTEM:   CLIA
    ID:   29D1039055