GRAND JUNCTION VA MOBILE CLIN (4287)    INSTITUTION (4)

Name Value
NAME GRAND JUNCTION VA MOBILE CLIN
STATE COLORADO
STREET ADDR. 1 2121 NORTH AVENUE
CITY GRAND JUNCTION
ZIP 81501-6428
OFFICIAL VA NAME GRAND JUNCTION VA MOBILE CLIN
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME GRAND JUNCTION VA MOBILE CLINIC
EFFECTIVE DATE/TIME
  • 2017-11-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1386158897
TAXONOMY CODE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 575QC