| NAME |
ZZ GREEN RIVER |
| STATE |
WYOMING |
| STREET ADDR. 1 |
1400 UINTA DRIVE |
| CITY |
GREEN RIVER |
| ZIP |
82935 |
| OFFICIAL VA NAME |
VA GREEN RIVER CBOC CLINIC (660GF) |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| ST. ADDR. 1 (MAILING) |
1400 UINTA DRIVE |
| CITY (MAILING) |
GREEN RIVER |
| STATE (MAILING) |
WYOMING |
| ZIP (MAILING) |
82935 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1477508133
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
660GF |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1477508133
-
- CODING SYSTEM: VASTANUM
- ID: 660GF
|
