GALLUP VA DOMICILARY (3413) INSTITUTION (4)

Name	Value
NAME	GALLUP VA DOMICILARY
STATE	NEW MEXICO
STREET ADDR. 1	1501 SAN PEDRO DR. SE
CITY	ALBUQUERQUE
ZIP	87108-5103
OFFICIAL VA NAME	GALLUP VA DOMICILARY
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 22 PARENT FACILITY PARENT OF ASSOCIATION: RAYMOND G. MURPHY VAMC
BILLING FACILITY NAME	ALBUQUERQUE VA CARE SITE
EFFECTIVE DATE/TIME	2015-09-01 00:00:00 STATUS: ACTIVE NPI: 1376090316
TAXONOMY CODE	Residential Treatment Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
STATION NUMBER	501BV