| NAME |
DURANGO VA CLINIC |
| STATE |
COLORADO |
| STREET ADDR. 1 |
1970 E. THIRD AVE SUITE 102 |
| CITY |
DURANGO |
| ZIP |
81301-6805 |
| OFFICIAL VA NAME |
DURANGO VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
DURANGO VA CBOC |
| ST. ADDR. 1 (MAILING) |
1970 E. THIRD AVE SUITE 102 |
| CITY (MAILING) |
DURANGO |
| STATE (MAILING) |
COLORADO |
| ZIP (MAILING) |
81301-6805 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1073566527
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
501GJ |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1073566527
-
- CODING SYSTEM: VASTANUM
- ID: 501GJ
|
