EVANS VA CLINIC (4573) INSTITUTION (4)

Name	Value
NAME	EVANS VA CLINIC
STATE	COLORADO
STREET ADDR. 1	1650 COCHRANE CIR STE 2805
CITY	FORT CARSON
ZIP	80913-4613
OFFICIAL VA NAME	EVANS VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: ROCKY MOUNTAIN REGIONAL VAMC
BILLING FACILITY NAME	FORT CARSON VA CLINIC
EFFECTIVE DATE/TIME	2022-06-07 00:00:00 STATUS: ACTIVE NPI: 1558090365
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	554QD
HISTORY