| NAME |
STERLING VA CLINIC (442QE) |
| STATE |
COLORADO |
| STREET ADDR. 1 |
100 COLLEGE AVENUE |
| CITY |
STERLING |
| ZIP |
80751-2345 |
| OFFICIAL VA NAME |
STERLING VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
STERLING VA CLINIC |
| ST. ADDR. 1 (MAILING) |
2360 EAST PERSHING BLVD. |
| CITY (MAILING) |
CHEYENNE |
| STATE (MAILING) |
WYOMING |
| ZIP (MAILING) |
82001 |
| EFFECTIVE DATE/TIME |
-
- 2012-06-01 00:00:00
- STATUS: ACTIVE
- NPI: 1063990737
-
- 2022-08-25 00:00:00
- STATUS: INACTIVE
- NPI: 1063990737
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
442QE |
