LAS CRUCES (1909)    INSTITUTION (4)

Name Value
NAME LAS CRUCES
STATE NEW MEXICO
STREET ADDR. 1 3401 DEL REY BLVD.
CITY LAS CRUCES
ZIP 88012-8041
OFFICIAL VA NAME LAS CRUCES CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LAS CRUCES VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1972559730
TAXONOMY CODE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 756GA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1972559730
  • CODING SYSTEM:   VASTANUM
    ID:   756GA
  • CODING SYSTEM:   CLIA
    ID:   32D1018223