WHEATLAND FRONTRANGE 3 MOBILE (3391)    INSTITUTION (4)

Name Value
NAME WHEATLAND FRONTRANGE 3 MOBILE
STATE WYOMING
STREET ADDR. 1 2360 EAST PERSHING BOULEVARD
CITY CHEYENNE
ZIP 82001-5356
OFFICIAL VA NAME WHEATLAND FRONTRANGE 3 MOB CLN
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CHEYENNE VA MOBILE CLINIC
EFFECTIVE DATE/TIME
  • 2016-08-01 00:00:00
    STATUS:   INACTIVE
    NPI:   1114477197
TAXONOMY CODE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
STATION NUMBER 442QC