WESTERN COLORADO MOBILE CLINIC (4444) INSTITUTION (4)

Name	Value
NAME	WESTERN COLORADO MOBILE CLINIC
STATE	COLORADO
STREET ADDR. 1	2121 NORTH AVE
CITY	GRAND JUNCTION
ZIP	81501-6428
OFFICIAL VA NAME	WESTERN COLORADO VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: GRAND JUNCTION VAMC
BILLING FACILITY NAME	GRAND JUNCTION 1 VA CLINIC
EFFECTIVE DATE/TIME	2021-03-01 00:00:00 STATUS: ACTIVE NPI: 1043890825
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	575QE