LAUGHLIN VA CBOC (3712) INSTITUTION (4)

Name	Value
NAME	LAUGHLIN VA CBOC
STATE	NEVADA
STREET ADDR. 1	3650 SOUTH POINTE CIRCLE, BLD D-#216
CITY	LAUGHLIN
ZIP	89029-0423
OFFICIAL VA NAME	JESSE DEAN VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 21 PARENT FACILITY PARENT OF ASSOCIATION: SOUTHERN NEVADA HCS
BILLING FACILITY NAME	LAUGHLIN VA CLINIC
EFFECTIVE DATE/TIME	2014-05-27 00:00:00 STATUS: ACTIVE NPI: 1215339411
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
STATION NUMBER	593GH