LAUGHLIN VA MOBILE CLINIC (3715) INSTITUTION (4)

Name	Value
NAME	LAUGHLIN VA MOBILE CLINIC
STATE	NEVADA
STREET ADDR. 1	6900 NORTH PECOS ROAD
CITY	N. LAS VEGAS
ZIP	89086-4400
OFFICIAL VA NAME	LAUGHLIN VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 21 PARENT FACILITY PARENT OF ASSOCIATION: SOUTHERN NEVADA HCS
BILLING FACILITY NAME	LAUGHLIN VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2015-03-09 00:00:00 STATUS: ACTIVE NPI: 1104211069 2020-08-14 00:00:00 STATUS: INACTIVE NPI: 1104211069
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
STATION NUMBER	593QB