| NAME |
ALAMOSA VA CLINIC |
| STATE |
COLORADO |
| STREET ADDR. 1 |
622 DEL SOL DRIVE |
| CITY |
ALAMOSA |
| ZIP |
81101-8548 |
| OFFICIAL VA NAME |
ALAMOSA VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ALAMOSA VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1003866872
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
554GF |
| HISTORY |
-
- EFFECTIVE DATE: 2001-10-01 00:00:00
- REALIGNED FROM: ZZ ALAMOSA
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1003866872
-
- CODING SYSTEM: VASTANUM
- ID: 554GF
-
- CODING SYSTEM: CLIA
- ID: 06D1042325
|
