WHEATLAND VA MOBILE CLINIC (3386) INSTITUTION (4)

Name	Value
NAME	WHEATLAND VA MOBILE CLINIC
STATE	WYOMING
STREET ADDR. 1	759 E COLE ST
CITY	WHEATLAND
ZIP	82201-9998
OFFICIAL VA NAME	WHEATLAND VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: CHEYENNE VA MEDICAL
BILLING FACILITY NAME	WHEATLAND VA CLINIC
EFFECTIVE DATE/TIME	2015-06-15 00:00:00 STATUS: ACTIVE NPI: 1073995734
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	442HK