SOUTHERN NEVADA VA MOBILE CLIN (4592) INSTITUTION (4)

Name	Value
NAME	SOUTHERN NEVADA VA MOBILE CLIN
STATE	NEVADA
STREET ADDR. 1	6900 N PECOS RD
CITY	NORTH LAS VEGAS
ZIP	89086-4400
OFFICIAL VA NAME	SOUTHERN NEVADA VA MOBILE CLIN
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 21 PARENT FACILITY PARENT OF ASSOCIATION: SOUTHERN NEVADA HCS
BILLING FACILITY NAME	NORTH LAS VEGAS VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2023-09-26 00:00:00 STATUS: ACTIVE NPI: 1144000605
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	593QD
HISTORY