WORLAND VA CLINIC (3994) INSTITUTION (4)

Name	Value
NAME	WORLAND VA CLINIC
STATE	WYOMING
STREET ADDR. 1	510 SOUTH 15TH STREET, #D
CITY	WORLAND
ZIP	82401-3538
OFFICIAL VA NAME	WORLAND VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: SHERIDAN VA MEDICAL CENTER
BILLING FACILITY NAME	WORLAND VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1578954798
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
STATION NUMBER	666QC
IDENTIFIER	CODING SYSTEM: CLIA ID: 3D2012185