| NAME |
FLOYD K. LINDSTROM VA CLINIC |
| STATE |
COLORADO |
| STREET ADDR. 1 |
3141 CENTENNIAL BLVD |
| CITY |
COLORADO SPRINGS |
| ZIP |
80907-9998 |
| OFFICIAL VA NAME |
FLOYD K. LINDSTROM VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
COLORADO SPRINGS VA CBOC |
| ST. ADDR. 1 (MAILING) |
3141 CENTENNIAL BLVD |
| CITY (MAILING) |
COLORADO SPRINGS |
| STATE (MAILING) |
COLORADO |
| ZIP (MAILING) |
80907-9998 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1578515631
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
554GE |
| HISTORY |
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1578515631
-
- CODING SYSTEM: VASTANUM
- ID: 554GE
|
