DENVER VA DOMICILLIARY (554A5) (4283)    INSTITUTION (4)

Name Value
NAME DENVER VA DOMICILLIARY (554A5)
STATE COLORADO
STREET ADDR. 1 1055 CLERMONT STREET
CITY DENVER
ZIP 80220-3808
OFFICIAL VA NAME DENVER VA DOMICILLIARY (554A5)
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME DENVER VA CARE SITE
EFFECTIVE DATE/TIME
  • 2018-04-17 00:00:00
    STATUS:   ACTIVE
    NPI:   1891284964
  • 2021-08-11 00:00:00
    STATUS:   INACTIVE
    NPI:   1891284964
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 554A5