CHEYENNE MOBILE VA CLINIC (4404) INSTITUTION (4)

Name	Value
NAME	CHEYENNE MOBILE VA CLINIC
STATE	WYOMING
STREET ADDR. 1	2360 E PERSHING BLVD
CITY	CHEYENNE
ZIP	82001-5356
OFFICIAL VA NAME	CHEYENNE MOBILE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: CHEYENNE VA MEDICAL
BILLING FACILITY NAME	CHEYENNE VA CLINIC
EFFECTIVE DATE/TIME	2020-10-04 00:00:00 STATUS: ACTIVE NPI: 1720685753
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: NO STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	442QF