SOUTHEAST PCC (3709)    INSTITUTION (4)

Name Value
NAME SOUTHEAST PCC
STATE NEVADA
STREET ADDR. 1 1020 S. BOULDER HIGHWAY
CITY HENDERSON
ZIP 89015-8533
OFFICIAL VA NAME SOUTHEAST PCC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME SOUTHEAST LAS VEGAS VA CBOC
ST. ADDR. 1 (MAILING) PO BOX 360001
CITY (MAILING) LAS VEGAS
STATE (MAILING) NEVADA
ZIP (MAILING) 89036
EFFECTIVE DATE/TIME
  • 2011-11-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1972886562
TAXONOMY CODE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 593GE