AFTON VA CLINIC (3992) INSTITUTION (4)

Name	Value
NAME	AFTON VA CLINIC
STATE	WYOMING
STREET ADDR. 1	125 SOUTH WASHINGTON ST
CITY	AFTON
ZIP	83110-9998
OFFICIAL VA NAME	AFTON VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: SHERIDAN VA MEDICAL CENTER
BILLING FACILITY NAME	AFTON VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1205227428
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
STATION NUMBER	666QA