SPACE CENTER VA CLINIC (4572) INSTITUTION (4)

Name	Value
NAME	SPACE CENTER VA CLINIC
STATE	COLORADO
STREET ADDR. 1	565 SPACE CENTER DR STE 130
CITY	COLORADO SPRINGS
ZIP	80915-3610
OFFICIAL VA NAME	SPACE CENTER VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: ROCKY MOUNTAIN REGIONAL VAMC
BILLING FACILITY NAME	COLORADO SPRINGS 2 VA CLINIC
EFFECTIVE DATE/TIME	2023-06-27 00:00:00 STATUS: ACTIVE NPI: 1184301640
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	554GM
HISTORY