CRAIG TELEHEALTH OUTRCH CLINIC (3644) INSTITUTION (4)

Name	Value
NAME	CRAIG TELEHEALTH OUTRCH CLINIC
STATE	COLORADO
STREET ADDR. 1	1111 WEST VICTORY WAY, SUITE 116
CITY	CRAIG
ZIP	81625-2945
OFFICIAL VA NAME	CRAIG TELEHEALTH OUTRCH CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: GRAND JUNCTION VAMC
BILLING FACILITY NAME	CRAIG TELEHEALTH VA CLINIC
EFFECTIVE DATE/TIME	2008-01-22 00:00:00 STATUS: ACTIVE NPI: 1043496169
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
STATION NUMBER	575GB