ACADEMY VA CLINIC (4574) INSTITUTION (4)

Name	Value
NAME	ACADEMY VA CLINIC
STATE	COLORADO
STREET ADDR. 1	4102 PINION DR STE 1552
CITY	USAF ACADEMY
ZIP	80840-2502
OFFICIAL VA NAME	ACADEMY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: ROCKY MOUNTAIN REGIONAL VAMC
BILLING FACILITY NAME	USAF ACADEMY VA CLINIC
EFFECTIVE DATE/TIME	2022-04-18 00:00:00 STATUS: ACTIVE NPI: 1710626411
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	554QE
HISTORY