CODY VA CLINIC (1778)    INSTITUTION (4)

Name Value
NAME CODY VA CLINIC
STATE WYOMING
STREET ADDR. 1 1432 RUMSEY AVE
CITY CODY
ZIP 82414-9998
OFFICIAL VA NAME CODY VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CODY VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1366489841
TAXONOMY CODE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 666GD
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1366489841
  • CODING SYSTEM:   VASTANUM
    ID:   666GD
  • CODING SYSTEM:   CLIA
    ID:   53D2246703