COCHISE COUNTY VA CLINIC (4056)    INSTITUTION (4)

Name Value
NAME COCHISE COUNTY VA CLINIC
STATE ARIZONA
STREET ADDR. 1 157 NORTH CORONADO DRIVE SUITE B
CITY SIERRA VISTA
ZIP 85635-6361
OFFICIAL VA NAME COCHISE COUNTY VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME SIERRA VISTA 1 VA CLINIC
EFFECTIVE DATE/TIME
  • 2012-01-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1104366897
TAXONOMY CODE
LOCATION TIMEZONE MOUNTAIN
STATION NUMBER 678QA