PUEBLO VA CLC (2098) INSTITUTION (4)

Name	Value
NAME	PUEBLO VA CLC
STATE	COLORADO
STREET ADDR. 1	2600 OAKSHIRE LANE
CITY	PUEBLO
ZIP	81001-5671
OFFICIAL VA NAME	PUEBLO VA CLC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: ROCKY MOUNTAIN REGIONAL VAMC
BILLING FACILITY NAME	PUEBLO VA CLC
EFFECTIVE DATE/TIME	2003-06-25 00:00:00 STATUS: ACTIVE NPI: 1750741211
TAXONOMY CODE	Nursing & Custodial Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	554A4
HISTORY	EFFECTIVE DATE: 2001-10-01 00:00:00 REALIGNED FROM: ZZ SOUTHERN COLORADO HCS
IDENTIFIER	CODING SYSTEM: VASTANUM ID: 554A4