| NAME |
LAMAR VA CLINIC |
| STATE |
COLORADO |
| STREET ADDR. 1 |
1401 S MAIN ST STE 2 |
| CITY |
LAMAR |
| ZIP |
81052-3821 |
| OFFICIAL VA NAME |
LAMAR VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
LAMAR VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1447207345
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
554GH |
| HISTORY |
-
- EFFECTIVE DATE: 2001-10-01 00:00:00
- REALIGNED FROM: ZZ LAMAR CBOC
-
- STREET ADDR. 1 (CHANGED FROM): 1401 SOUTH MAIN STREET
- CITY (CHANGED FROM): LAMAR
- STATE (CHANGED FROM): COLORADO
- ZIP (CHANGED FROM): 81052-3821
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1447207345
-
- CODING SYSTEM: VASTANUM
- ID: 554GH
|
