MOAB VA CLINIC (3646) INSTITUTION (4)

Name	Value
NAME	MOAB VA CLINIC
STATE	COLORADO
STREET ADDR. 1	702 SOUTH MAIN ST, SUITE #5B
CITY	MOAB
ZIP	84532-2943
OFFICIAL VA NAME	MOAB VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: GRAND JUNCTION VAMC
BILLING FACILITY NAME	MOAB VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1538550959
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
STATION NUMBER	575QB