ALTUS CBOC (3836) INSTITUTION (4)

Name	Value
NAME	ALTUS CBOC
STATE	OKLAHOMA
STREET ADDR. 1	1604 N. MAIN STREET
CITY	ALTUS
ZIP	73521-2145
OFFICIAL VA NAME	ALTUS CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: OKLAHOMA CITY VAMC
BILLING FACILITY NAME	ALTUS VA CLINIC
ST. ADDR. 1 (MAILING)	1604 N. MAIN STREET
CITY (MAILING)	ALTUS
STATE (MAILING)	OKLAHOMA
ZIP (MAILING)	73521-2145
EFFECTIVE DATE/TIME	2009-09-14 00:00:00 STATUS: ACTIVE NPI: 1285864546
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	635GF