PRICE VA CLINIC (3971) INSTITUTION (4)

Name	Value
NAME	PRICE VA CLINIC
STATE	UTAH
STREET ADDR. 1	189 SOUTH 600 WEST, #B
CITY	PRICE
ZIP	84501-2833
OFFICIAL VA NAME	PRICE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: GEORGE E. WAHLEN VAMC
BILLING FACILITY NAME	PRICE VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1124419551
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	660QB
IDENTIFIER	CODING SYSTEM: CLIA ID: 46D2102885