EL DORADO, AR (CBOC) (1498) INSTITUTION (4)

Name	Value
NAME	EL DORADO, AR (CBOC)
STATE	ARKANSAS
STREET ADDR. 1	1702 N. WEST AVENUE
CITY	EL DORADO
ZIP	71730-3867
OFFICIAL VA NAME	EL DORADO, AR CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 16 PARENT FACILITY PARENT OF ASSOCIATION: CENTRAL ARKANSAS HCS
BILLING FACILITY NAME	EL DORADO VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1215980164
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	598GB
IDENTIFIER	CODING SYSTEM: NPI ID: 1215980164 CODING SYSTEM: VASTANUM ID: 598GB