NORTHWEST METRO VA CLINIC (4407) INSTITUTION (4)

Name	Value
NAME	NORTHWEST METRO VA CLINIC
STATE	NEW MEXICO
STREET ADDR. 1	1760 GRANDE BLVD SE
CITY	RIO RANCHO
ZIP	87124-1726
OFFICIAL VA NAME	NORTHWEST METRO VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 22 PARENT FACILITY PARENT OF ASSOCIATION: RAYMOND G. MURPHY VAMC
BILLING FACILITY NAME	RIO RANCHO VA CBOC
EFFECTIVE DATE/TIME	2012-05-15 00:00:00 STATUS: ACTIVE NPI: 1740548494
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	501GM