ELKO VA CLINIC (3969)    INSTITUTION (4)

Name Value
NAME ELKO VA CLINIC
STATE NEVADA
STREET ADDR. 1 2719 ARGENT AVE, SUITE 9
CITY ELKO
ZIP 89801-8443
OFFICIAL VA NAME ELKO VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME ELKO VA OOS
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1295126621
TAXONOMY CODE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 660GK
IDENTIFIER
  • CODING SYSTEM:   CLIA
    ID:   29D2048693