• Home

  • Documents

  • Supplement Table 3 VA Medical Facility Locations, …Supplement Table 3 VA Medical Facility...
18
Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/14/2017 RCV3p23 FacilityList 2017-12-14FR.xls Page 1 of 18 Sta # VA Facility Location ST ZIP 3 VN TYPE PB 402 TOGUS VA MEDICAL CENTER, ME ME 043 1 VAMC PBH 402GA CARIBOU, ME ME 047 1 CBOC PBO 402GB CALAIS VA CLINIC, ME ME 046 1 CBOC PBO 402GC RUMFORD VA CLINIC, ME ME 042 1 CBOC PBO 402GD SACO VA CLINIC, ME ME 040 1 CBOC PBO 402GE LEWISTON VA CLINIC, ME ME 042 1 CBOC PBO 402GF LINCOLN VA CLINIC, ME ME 044 1 CBOC PBO 402HB BANGOR, ME ME 044 1 CBOC PBO 402HC PORTLAND, ME (MHORC) ME 041 1 CBOC PBO 402HL BINGHAM VA MOBILE CLINIC, ME ME 049 1 MOC PBO 402QA FT. KENT VA CLINIC, ME ME 047 1 OOS NPB 402QB HOULTON VA CLINIC, ME ME 047 1 OOS PBO 405 WHITE RIVER JUNCTION VAMC, VT VT 050 1 VAMC PBH 405BU WHITE RIVER JCT, VT (SARRTP) VT 050 1 DOM PBO 405GA BENNINGTON VA CLINIC, VT VT 052 1 CBOC PBO 405GC BRATTLEBORO VA CLINIC, VT VT 053 1 CBOC PBO 405HA BURLINGTON LAKESIDE VA CLINIC, VT (CBOC) VT 054 1 CBOC NPB 405HC LITTLETON, NH NH 035 1 CBOC PBO 405HE KEENE, NH NH 034 1 CBOC PBO 405HF RUTLAND, VT VT 057 1 CBOC PBO 405HG WILDER, VT VT 050 1 CBOC PBO 405QA ST. JOHNSBURY VA CLINIC, VT VT 058 1 OOS NPB 405QB NEWPORT VA CLINIC, VT VT 058 1 OOS NPB 436 FORT HARRISON MEDICAL CENTER, MT MT 596 19 VAMC PBH 436A4 MILES CITY VA MEDICAL CENTER, MT MT 593 19 OP/CLC PBH 436GA ANACONDA, MT MT 597 19 CBOC PBO 436GB GREAT FALLS, MT MT 594 19 CBOC PBO 436GC MISSOULA, MT MT 598 19 CBOC PBO 436GD BOZEMAN VA CLINIC, MT MT 597 19 CBOC PBO 436GF KALISPELL VA CLINIC, MT MT 599 19 CBOC PBO 436GH BILLINGS VA CLINIC, MT MT 591 19 CBOC PBO 436GI GLASGOW VA CLINIC, MT MT 592 19 CBOC PBO 436GJ MILES CITY VA CLINIC, MT MT 593 19 CBOC PBO 436GK GLENDIVE VA CLINIC, MT MT 593 19 CBOC NPB 436GL CUT BANK VA CLINIC, MT MT 594 19 CBOC PBO 436GM LEWISTOWN VA CLINIC, MT MT 594 19 CBOC PBO 436HC MERRIL LUNDMAN VA OPC, MT MT 595 19 CBOC PBO 436MA GREAT FALLS, MT (DES) MT 594 19 DES PBO 436QA HAMILTON VA CLINIC, MT MT 598 19 OOS NPB 436QB PLENTYWOOD VA CLINIC, MT MT 592 19 OOS NPB 436QC HELENA VA CLINIC, MT MT 596 19 OOS PBO 437 FARGO VA MEDICAL CENTER, ND ND 581 23 VAMC PBH 437GA GRAFTON VA CLINIC, ND ND 582 23 CBOC PBO 437GB BISMARCK VA CLINIC, ND ND 585 23 CBOC NPB 437GC FERGUS FALLS VA CLINIC, MN MN 565 23 CBOC PBO 437GD MINOT VA CLINIC, ND ND 587 23 CBOC PBO 437GE BEMIDJI VA CLINIC, MN MN 566 23 CBOC PBO 437GF WILLISTON VA CLINIC, ND ND 588 23 CBOC PBO 437GI GRAND FORKS VA CLINIC, ND ND 582 23 CBOC PBO 437GJ DICKINSON VA CLINIC, ND ND 586 23 CBOC NPB 437GK JAMESTOWN VA CLINIC, ND ND 584 23 CBOC NPB 437GL DEVILS LAKE VA CLINIC, ND ND 583 23 CBOC NPB 437MA FARGO, ND (DES) (MINOT AFB) ND 587 23 DES PBO 437MB FARGO, ND (DES) (GRAND FORKS AFB) ND 582 23 DES PBO 437PB FARGO, ND (PRRTP) ND 581 23 PRRTP PBO 438 ROYAL C. JOHNSON VAMC, SD SD 571 23 VAMC PBH 438GA SPIRIT LAKE VA CLINIC, SD SD 513 23 CBOC PBO 438GC SIOUX CITY VA CLINIC, IA IA 511 23 CBOC PBO 438GD ABERDEEN VA CLINIC, SD SD 574 23 CBOC PBO 438GE WAGNER VA CLINIC, SD SD 573 23 CBOC PBO 438GF WATERTOWN VA CLINIC, SD SD 572 23 CBOC PBO 442 CHEYENNE VA MEDICAL CENTER, WY WY 820 19 VAMC PBH 442BU CHEYENNE VA DOMICILIARY, WY WY 820 19 DOM PBO 442GB SIDNEY VA CLINIC, NE NE 691 19 CBOC PBO 442GC FORT COLLINS VA CLINIC, CO CO 805 19 CBOC PBO 442GD GREELEY VA CLINIC, CO CO 806 19 CBOC PBO 442HK WHEATLAND VA MOBILE CLINIC, WY WY 820 19 MOC PBO 442MA F.E. WARREN, WY (DES) (WARREN AFB) WY 820 19 DES PBO 442QA RAWLINS VA CLINIC, WY WY 823 19 OOS PBO 442QB TORRINGTON VA MOBILE CLINIC, WY WY 822 19 OOS PBO 442QC WHEATLAND FRONTAGE 3 MOBILE, WY WY 820 19 OOS PBO 459 SPARK M. MATSUNAGA VAMC, HI HI 968 21 VAMC PBH 459GA MAUI VA CLINIC, HI HI 967 21 CBOC PBO 459GB HILO, HI HI 967 21 CBOC PBO 459GC KAILUA KONA, HI HI 967 21 CBOC PBO 459GD LIHUE, HI HI 967 21 CBOC PBO 459GE VA GUAM CBOC GU 969 21 CBOC NPB 459GF FALEOMAVAEGA HUNKIN VA CLINIC AS 967 21 CBOC PBO 459GG LEEWARD OAHU VA CLINIC, HI HI 967 21 CBOC PBO 459GH SAIPAN VA CLINIC MP 969 21 CBOC NPB 459MA HONOLULU, HI (DES) HI 968 21 DES PBO

Supplement Table 3 VA Medical Facility Locations, …Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of

  • Upload
    others

  • View
    2

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Supplement Table 3 VA Medical Facility Locations, …Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of

Supplement Table 3 VA Medical Facility

Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/14/2017

RCV3p23 FacilityList 2017-12-14FR.xls Page 1 of 18

Sta # VA Facility Location ST ZIP 3 VN TYPE PB 402 TOGUS VA MEDICAL CENTER, ME ME 043 1 VAMC PBH 402GA CARIBOU, ME ME 047 1 CBOC PBO 402GB CALAIS VA CLINIC, ME ME 046 1 CBOC PBO 402GC RUMFORD VA CLINIC, ME ME 042 1 CBOC PBO 402GD SACO VA CLINIC, ME ME 040 1 CBOC PBO 402GE LEWISTON VA CLINIC, ME ME 042 1 CBOC PBO 402GF LINCOLN VA CLINIC, ME ME 044 1 CBOC PBO 402HB BANGOR, ME ME 044 1 CBOC PBO 402HC PORTLAND, ME (MHORC) ME 041 1 CBOC PBO 402HL BINGHAM VA MOBILE CLINIC, ME ME 049 1 MOC PBO 402QA FT. KENT VA CLINIC, ME ME 047 1 OOS NPB 402QB HOULTON VA CLINIC, ME ME 047 1 OOS PBO 405 WHITE RIVER JUNCTION VAMC, VT VT 050 1 VAMC PBH 405BU WHITE RIVER JCT, VT (SARRTP) VT 050 1 DOM PBO 405GA BENNINGTON VA CLINIC, VT VT 052 1 CBOC PBO 405GC BRATTLEBORO VA CLINIC, VT VT 053 1 CBOC PBO 405HA BURLINGTON LAKESIDE VA CLINIC, VT (CBOC) VT 054 1 CBOC NPB 405HC LITTLETON, NH NH 035 1 CBOC PBO 405HE KEENE, NH NH 034 1 CBOC PBO 405HF RUTLAND, VT VT 057 1 CBOC PBO 405HG WILDER, VT VT 050 1 CBOC PBO 405QA ST. JOHNSBURY VA CLINIC, VT VT 058 1 OOS NPB 405QB NEWPORT VA CLINIC, VT VT 058 1 OOS NPB 436 FORT HARRISON MEDICAL CENTER, MT MT 596 19 VAMC PBH 436A4 MILES CITY VA MEDICAL CENTER, MT MT 593 19 OP/CLC PBH 436GA ANACONDA, MT MT 597 19 CBOC PBO 436GB GREAT FALLS, MT MT 594 19 CBOC PBO 436GC MISSOULA, MT MT 598 19 CBOC PBO 436GD BOZEMAN VA CLINIC, MT MT 597 19 CBOC PBO 436GF KALISPELL VA CLINIC, MT MT 599 19 CBOC PBO 436GH BILLINGS VA CLINIC, MT MT 591 19 CBOC PBO 436GI GLASGOW VA CLINIC, MT MT 592 19 CBOC PBO 436GJ MILES CITY VA CLINIC, MT MT 593 19 CBOC PBO 436GK GLENDIVE VA CLINIC, MT MT 593 19 CBOC NPB 436GL CUT BANK VA CLINIC, MT MT 594 19 CBOC PBO 436GM LEWISTOWN VA CLINIC, MT MT 594 19 CBOC PBO 436HC MERRIL LUNDMAN VA OPC, MT MT 595 19 CBOC PBO 436MA GREAT FALLS, MT (DES) MT 594 19 DES PBO 436QA HAMILTON VA CLINIC, MT MT 598 19 OOS NPB 436QB PLENTYWOOD VA CLINIC, MT MT 592 19 OOS NPB 436QC HELENA VA CLINIC, MT MT 596 19 OOS PBO 437 FARGO VA MEDICAL CENTER, ND ND 581 23 VAMC PBH 437GA GRAFTON VA CLINIC, ND ND 582 23 CBOC PBO 437GB BISMARCK VA CLINIC, ND ND 585 23 CBOC NPB 437GC FERGUS FALLS VA CLINIC, MN MN 565 23 CBOC PBO 437GD MINOT VA CLINIC, ND ND 587 23 CBOC PBO 437GE BEMIDJI VA CLINIC, MN MN 566 23 CBOC PBO 437GF WILLISTON VA CLINIC, ND ND 588 23 CBOC PBO 437GI GRAND FORKS VA CLINIC, ND ND 582 23 CBOC PBO 437GJ DICKINSON VA CLINIC, ND ND 586 23 CBOC NPB 437GK JAMESTOWN VA CLINIC, ND ND 584 23 CBOC NPB 437GL DEVILS LAKE VA CLINIC, ND ND 583 23 CBOC NPB 437MA FARGO, ND (DES) (MINOT AFB) ND 587 23 DES PBO 437MB FARGO, ND (DES) (GRAND FORKS AFB) ND 582 23 DES PBO 437PB FARGO, ND (PRRTP) ND 581 23 PRRTP PBO 438 ROYAL C. JOHNSON VAMC, SD SD 571 23 VAMC PBH 438GA SPIRIT LAKE VA CLINIC, SD SD 513 23 CBOC PBO 438GC SIOUX CITY VA CLINIC, IA IA 511 23 CBOC PBO 438GD ABERDEEN VA CLINIC, SD SD 574 23 CBOC PBO 438GE WAGNER VA CLINIC, SD SD 573 23 CBOC PBO 438GF WATERTOWN VA CLINIC, SD SD 572 23 CBOC PBO 442 CHEYENNE VA MEDICAL CENTER, WY WY 820 19 VAMC PBH 442BU CHEYENNE VA DOMICILIARY, WY WY 820 19 DOM PBO 442GB SIDNEY VA CLINIC, NE NE 691 19 CBOC PBO 442GC FORT COLLINS VA CLINIC, CO CO 805 19 CBOC PBO 442GD GREELEY VA CLINIC, CO CO 806 19 CBOC PBO 442HK WHEATLAND VA MOBILE CLINIC, WY WY 820 19 MOC PBO 442MA F.E. WARREN, WY (DES) (WARREN AFB) WY 820 19 DES PBO 442QA RAWLINS VA CLINIC, WY WY 823 19 OOS PBO 442QB TORRINGTON VA MOBILE CLINIC, WY WY 822 19 OOS PBO 442QC WHEATLAND FRONTAGE 3 MOBILE, WY WY 820 19 OOS PBO 459 SPARK M. MATSUNAGA VAMC, HI HI 968 21 VAMC PBH 459GA MAUI VA CLINIC, HI HI 967 21 CBOC PBO 459GB HILO, HI HI 967 21 CBOC PBO 459GC KAILUA KONA, HI HI 967 21 CBOC PBO 459GD LIHUE, HI HI 967 21 CBOC PBO 459GE VA GUAM CBOC GU 969 21 CBOC NPB 459GF FALEOMAVAEGA HUNKIN VA CLINIC AS 967 21 CBOC PBO 459GG LEEWARD OAHU VA CLINIC, HI HI 967 21 CBOC PBO 459GH SAIPAN VA CLINIC MP 969 21 CBOC NPB 459MA HONOLULU, HI (DES) HI 968 21 DES PBO

Page 2: Supplement Table 3 VA Medical Facility Locations, …Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of

Supplement Table 3 VA Medical Facility

Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/14/2017

RCV3p23 FacilityList 2017-12-14FR.xls Page 2 of 18

Sta # VA Facility Location ST ZIP 3 VN TYPE PB 459QA LANAI VA CLINIC, HI HI 967 21 OOS NPB 459QB MOLOKAI VA CLINIC, HI HI 967 21 OOS NPB 460 WILMINGTON VA MEDICAL CENTER, DE DE 198 4 VAMC PBH 460GA SUSSEX COUNTY VA CLINIC, DE DE 199 4 CBOC PBO 460GC KENT COUNTY VA CLINIC, DE DE 199 4 CBOC PBO 460GD CAPE MAY, NJ (CBOC) NJ 082 4 CBOC NPB 460HE ATLANTIC COUNTY VA CLINIC, NJ NJ 082 4 CBOC NPB 460HG CUMBERLAND COUNTY VA CLINIC, NJ NJ 083 4 CBOC PBO 460HK WILMINGTON VA MOBILE CLINIC, DE DE 198 4 MOC PBO 460MA WILMINGTON, DE (DES) DE 198 4 DES PBO 463 ANCHORAGE VA MEDICAL CENTER, AK AK 995 20 IOC PBH 463GA FAIRBANKS VA CLINIC, AK AK 997 20 CBOC NPB 463GB KENAI VA CLNIC, AK AK 996 20 CBOC PBO 463GC MAT-SU VA CLINIC, AK AK 996 20 CBOC PBO 463GD HOMER VA CLINIC, AK AK 996 20 CBOC NPB 463GE JUNEAU VA CLINIC, AK AK 998 20 CBOC NPB 463MA ANCHORAGE, AK (DES) (FORT RICHARDSON) AK 995 20 DES PBO 463MB ANCHORAGE, AK (DES) (FORT WAINWRIGHT) AK 997 20 DES PBO 463MC ANCHORAGE, AK (DES) (ELMENDORF AFB) AK 995 20 DES PBO 463MD ANCHORAGE, AK (DES) (EIELSON AFB) AK 997 20 DES PBO 501 RAYMOND G. MURPHY VAMC, NM NM 871 22 VAMC PBH 501G2 LAS VEGAS, NM NM 875 22 CBOC PBO 501GA ARTESIA VA CLINIC, NM NM 882 22 CBOC PBO 501GB FARMINGTON VA CLINIC, NM NM 874 22 CBOC PBO 501GC SILVER CITY VA CLINIC, NM NM 880 22 CBOC PBO 501GD GALLUP VA CLINIC, NM NM 873 22 CBOC PBO 501GE ESPANOLA, NM NM 884 22 CBOC PBO 501GH TRUTH OR CONSEQUENCES, NM NM 879 22 CBOC PBO 501GI ALAMOGORDO VA CLINIC, NM NM 883 22 CBOC PBO 501GJ DURANGO VA CLINIC, CO CO 813 22 CBOC PBO 501GK SANTA FE VA CLINIC, NM NM 875 22 CBOC PBO 501GM NORTHWEST METRO VA CLINIC, NM NM 871 22 CBOC PBO 501GN TAOS VA CLINIC, NM NM 875 22 CBOC NPB 501HB RATON VA CLINIC, NM NM 877 22 CBOC PBO 501MA ALBUQUERQUE, NM (DES) NM 871 22 DES PBO 502 ALEXANDRIA VA MEDICAL CENTER, LA LA 713 16 VAMC PBH 502GA JENNINGS, LA LA 705 16 CBOC PBO 502GB LAFAYETTE VA CLINIC, LA LA 705 16 CBOC PBO 502GE LAKE CHARLES VA CLINIC, LA LA 706 16 CBOC NPB 502GF FORT POLK VA CLINIC, LA LA 714 16 CBOC PBO 502GG NATCHITOCHES VA CLINIC, LA LA 714 16 CBOC PBO 502MA FT. POLK, LA (DES) LA 714 16 DES PBO 502QB LAFAYETTE CAMPUS B VA CLINIC, LA LA 705 16 OOS NPB 503 JAMES E. VAN ZANDT VAMC, PA PA 166 4 VAMC PBH 503GA JOHNSTOWN VA CLINIC, PA PA 159 4 CBOC PBO 503GB DU BOIS, PA PA 158 4 CBOC PBO 503GC STATE COLLEGE VA CLINIC, PA PA 168 4 CBOC PBO 503GD HUNTINGDON COUNTY VA CLINIC, PA PA 170 4 CBOC PBO 503GE INDIANA COUNTY VA CLINIC, PA PA 157 4 CBOC PBO 504 THOMAS E. CREEK VAMC, TX TX 791 17 VAMC PBH 504BY LUBBOCK, TX TX 794 17 CBOC PBO 504BZ CLOVIS, NM NM 881 17 CBOC PBO 504GA CHILDRESS VA CLINIC, TX TX 792 17 CBOC PBO 504HB DALHART VA CLINIC, TX TX 790 17 CBOC PBO 504MA CLOVIS, NM (DES) NM 881 17 DES PBO 506 ANN ARBOR VA MEDICAL CENTER, MI MI 481 10 VAMC PBH 506GA TOLEDO VA CLINIC, OH OH 436 10 CBOC PBO 506GB FLINT VA CLINIC, MI MI 485 10 CBOC PBO 506GC JACKSON, MI MI 492 10 CBOC PBO 506QA PACKARD ROAD VA CLINIC, MI MI 481 10 OOS PBO 506QB GREEN ROAD VA CLINIC, MI MI 481 10 OOS PBO 508 ATLANTA VA MEDICAL CENTER, GA GA 300 7 VAMC PBH 5089AA ATLANTA VA COMUNNITY LIVING CENTER, GA GA 300 7 CLC PBH 508BU VA DOM FORT McPHERSON, GA GA 303 7 DOM PBO 508GA FORT MACPHERSON VA CLINIC, GA GA 303 7 CBOC PBO 508GE OAKWOOD VA CLINIC, GA GA 305 7 CBOC PBO 508GF AUSTELL VA CLINIC, GA GA 301 7 CBOC PBO 508GG STOCKBRIDGE VA CLINIC, GA GA 302 7 CBOC PBO 508GH LAWRENCEVILLE VA CLINIC, GA GA 300 7 CBOC PBO 508GI NEWNAN VA CLINIC, GA GA 302 7 CBOC PBO 508GJ BLAIRSVILLE VA CLINIC, GA GA 305 7 CBOC PBO 508GK TRINKA DAVIS VETERANS VILLAGE, GA GA 301 7 CBOC PBO 508GL ROME VA CLINIC, GA GA 301 7 CBOC NPB 508QA DECATUR VA CLINIC, GA GA 300 7 OOS PBO 508QB EAST POINT VA CLINIC, GA GA 303 7 OOS PBO 508QC HENDERSON MILL VA CLINIC, GA GA 303 7 OOS PBO 508QD OLD EASTPOINT VA CLINIC, GA GA 303 7 OOS PBO 508QE GWINNETT COUNTY VA CLINIC, GA GA 300 7 OOS PBO 508QF ATLANTA VA CLINIC, GA GA 300 7 OOS PBO 509 CHARLIE A.NORWOOD VAMC, GA - DOWNTOWN DIVISION GA 309 7 VAMC PBH 509A0 CHARLIE A. NORWOOD VA MEDICAL CENTER, GA - UPTOWN DIVISION GA 309 7 VAMC PBH

Page 3: Supplement Table 3 VA Medical Facility Locations, …Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of

Supplement Table 3 VA Medical Facility

Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/14/2017

RCV3p23 FacilityList 2017-12-14FR.xls Page 3 of 18

Sta # VA Facility Location ST ZIP 3 VN TYPE PB 509GA ATHENS VA CLINIC, GA GA 306 7 CBOC PBO 509GB AIKEN VA CLINIC, SC SC 298 7 CBOC PBO 509MA FORT GORDON, GA (DES) GA 309 7 DES PBO 509QA STATESBORO VA CLINIC, GA GA 304 7 OOS NPB 512 BALTIMORE VA MEDICAL CENTER, MD MD 212 5 VAMC PBH 512A5 PERRY POINT VAMC, MD MD 219 5 VAMC PBH 512GA CAMBRIDGE VA CLINIC, MD MD 216 5 CBOC PBO 512GC GLEN BURNIE VA CLINIC, MD MD 210 5 CBOC PBO 512GD LOCH RAVEN VA CLINIC, MD MD 212 5 CBOC PBO 512GE POCOMOKE CITY VA CLINIC, MD MD 218 5 CBOC NPB 512GF FORT HOWARD VA CLINIC, MD MD 210 5 CBOC PBO 512GG FT MEADE VA CLINIC, MD MD 207 5 CBOC PBO 512MA FORT GEORGE G MEADE, MD (DES) MD 207 5 DES PBO 512MB ANNAPOLIS, MD (DES) MD 214 5 DES PBO 512PA PERRY POINT PRRTP, MD MD 219 5 PRRTP PBO 512QA BALTIMORE VA CLINIC, MD MD 212 5 OOS PBO 515 BATTLE CREEK VA MEDICAL CENTER, MI MI 490 10 VAMC PBH 515BY WYOMING VA CLINIC, MI MI 495 10 CBOC PBO 515GA MUSKEGON VA CLINIC, MI MI 494 10 CBOC PBO 515GB LANSING SOUTH VA CLINIC, MI MI 489 10 CBOC PBO 515GC BENTON HARBOR VA CLINIC, MI MI 490 10 CBOC PBO 515QA LANSING NORTH VA CLINIC, MI MI 489 10 OOS NPB 515QB CENTURY AVENUE VA CLINIC, MI MI 495 10 OOS NPB 516 C. W. BILL YOUNG DEPT OF VAMC, FL FL 337 8 VAMC PBH 516BZ LEE COUNTY VA CLINIC, FL FL 339 8 CBOC PBO 516GA SARASOTA, FL FL 342 8 CBOC PBO 516GB SAINT PETERSBURG VA CLINIC, FL FL 337 8 CBOC PBO 516GC PALM HARBOR VA CLINIC, FL FL 346 8 CBOC PBO 516GD BRADENTON VA CLINIC, FL FL 342 8 CBOC PBO 516GE PORT CHARLOTTE VA CLINIC, FL FL 339 8 CBOC PBO 516GF NAPLES VA CLINIC, FL FL 341 8 CBOC PBO 516GH SEBRING VA CLINIC, FL FL 338 8 CBOC PBO 517 BECKLEY VA MEDICAL CENTER, WV WV 258 5 VAMC PBH 517GB GREENBRIER COUNTY VA CLINIC, WV WV 249 5 CBOC PBO 517HK BECKLEY VA MOBILE CLINIC, WV WV 247 5 MOC PBO 517QA PRINCETON VA CLINIC, WV WV 247 5 OOS PBO 518 EDITH NOURSE ROGERS VAMC, MA MA 017 1 VAMC PBH 518GA LYNN VA CLINIC, MA MA 019 1 CBOC PBO 518GB HAVERHILL VA CLINIC, MA MA 018 1 CBOC PBO 518GE GLOUCESTER VA CLINIC, MA MA 019 1 CBOC PBO 518MA BEDFORD, MA (DES) MA 017 1 DES PBO 519 GEORGE H. O'BRIEN, JR., VAMC, TX TX 797 17 VAMC PBH 519BU BIG SPRING, TX (DOM) TX 797 17 DOM PBO 519GA PERMIAN BASIN VA CLINIC, TX TX 797 17 CBOC PBO 519GB HOBBS, NM NM 882 17 CBOC PBO 519GD FORT STOCKTON VA CLINIC, TX TX 797 17 CBOC PBO 519HC ABILENE VA CLINIC, TX TX 796 17 CBOC PBO 519HD STAMFORD, TX TX 795 17 CBOC PBO 519HF SAN ANGELO, TX TX 769 17 CBOC PBO 519MA BIG SPRING, TX (DES) (GOODFELLOW) TX 797 17 DES PBO 519MB BIG SPRING, TX (DES) (DYESS) TX 797 17 DES PBO 520 BILOXI VA MEDICAL CENTER, MS MS 395 16 VAMC PBH 520BZ PENSACOLA VA CLINIC, FL FL 325 16 CBOC PBO 520GA MOBILE, AL AL 366 16 CBOC PBO 520GB PANAMA CITY BEACH VA CLINIC, FL FL 324 16 CBOC NPB 520GC EGLIN AIR FORCE BASE VA CLINIC, FL FL 325 16 CBOC PBO 520MA KEESLER AFB, MS (DES) (BILOXI) MS 395 16 DES PBO 520MB PENSACOLA, FL (DES) (JACC) FL 325 16 DES PBO 520MC PENSACOLA, FL (DES) (KEESLER AFB) FL 325 16 DES PBO 520MD PENSACOLA, FL (DES) (GULFPORT) FL 395 16 DES PBO 520ME PENSACOLA, FL (DES) (NAVAL HOSP. ) FL 325 16 DES PBO 520MF PENSACOLA, FL (DES) (HURLBURT FIELD) FL 325 16 DES PBO 520MG PENSACOLA, FL (DES) (EGLIN AFB) FL 325 16 DES PBO 520MH PENSACOLA, FL (DES) (PANAMA CITY (NAVAL)) FL 325 16 DES PBO 520MI PENSACOLA, FL (DES) (TYNDALL AFB) FL 325 16 DES PBO 520QA PANAMA CITY BEACH WEST VA CLIN, FL FL 324 16 OOS NPB 521 BIRMINGHAM VA MEDICAL CENTER, AL AL 352 7 VAMC PBH 521GA HUNTSVILLE, AL AL 358 7 CBOC PBO 521GC FLORENCE, AL AL 356 7 CBOC PBO 521GD RAINBOW CITY VA CLINIC, AL AL 359 7 CBOC PBO 521GE ANNISTON, AL AL 362 7 CBOC PBO 521GF JASPER VA CLINIC, AL AL 355 7 CBOC PBO 521GG BESSEMER VA CLINIC, AL AL 350 7 CBOC PBO 521GH CHILDERSBURG VA CLINIC, AL AL 350 7 CBOC PBO 521GI GUNTERSVILLE VA CLINIC, AL AL 359 7 CBOC PBO 521GJ BIRMINGHAM VA CLINIC, AL AL 352 7 CBOC PBO 521MA HUNTSVILLE, AL (DES) AL 358 7 DES PBO 521QA CALLAHAN VA CLINIC, AL AL 352 7 OOS PBO 523 JAMAICA PLAIN VAMC, MA MA 021 1 VAMC PBH 523A4 WEST ROXBURY VA MEDICAL CENTER, MA MA 021 1 VAMC PBH 523A5 BROCKTON VA MEDICAL CENTER, MA MA 024 1 VAMC PBH

Page 4: Supplement Table 3 VA Medical Facility Locations, …Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of

Supplement Table 3 VA Medical Facility

Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/14/2017

RCV3p23 FacilityList 2017-12-14FR.xls Page 4 of 18

Sta # VA Facility Location ST ZIP 3 VN TYPE PB 523BY LOWELL VA CLINIC, MA MA 018 1 CBOC PBO 523BZ CAUSEWAY VA CLINIC, MA MA 021 1 CBOC PBO 523GA FRAMINGHAM VA CLINIC, MA MA 017 1 CBOC PBO 523GC QUINCY VA CLINIC, MA MA 021 1 CBOC PBO 523GD PLYMOUTH VA CLINIC, MA MA 023 1 CBOC NPB 523MA BOSTON, MA (DES) MA 021 1 DES PBO 523QA BOSTON VA MOBILE CLINIC, MA MA 021 1 OOS PBO 526 JAMES J. PETERS VAMC, NY NY 104 2 VAMC PBH 526GA WHITE PLAINS VA CLINIC, NY NY 106 2 CBOC PBO 526GB YONKERS VA CLINIC, NY NY 107 2 CBOC PBO 526GD THOMAS P. NOONAN JR. VA OPC, NY NY 111 2 CBOC PBO 526QA BRONX VA MOBILE CLINIC, NY NY 104 2 OOS PBO 528 BUFFALO VA MEDICAL CENTER, NY NY 142 2 VAMC PBH 528A4 VA WESTERN NEW YORK HEALTHCARE SYSTEM AT BATAVIA, NY NY 140 2 VAMC PBH 528A5 CANANDAIGUA VA MEDICAL CENTER, NY NY 144 2 VAMC PBH 528A6 BATH VA MEDICAL CENTER, NY NY 148 2 VAMC PBH 528A7 SYRACUSE VA MEDICAL CENTER, NY NY 132 2 VAMC PBH 528A8 SAMUEL S. STRATTON VAMC, NY NY 122 2 VAMC PBH 528G2 WESTPORT VA CLINIC, NY NY 129 2 CBOC PBO 528G3 BAINBRIDGE VA CLINIC, NY NY 137 2 CBOC PBO 528G4 ELMIRA VA CLINIC, NY NY 149 2 CBOC PBO 528G5 AUBURN VA CLINIC, NY NY 130 2 CBOC PBO 528G6 FONDA VA CLINIC, NY NY 120 2 CBOC PBO 528G7 CATSKILL VA CLINIC, NY NY 124 2 CBOC PBO 528G8 WELLSVILLE VA CLINIC, NY NY 148 2 CBOC PBO 528G9 TOMPKINS COUNTY VA CLINIC, NY NY 130 2 CBOC PBO 528GB JAMESTOWN VA CLINIC, NY NY 147 2 CBOC PBO 528GC DUNKIRK VA CLINIC, NY NY 140 2 CBOC PBO 528GD NIAGARA FALLS VA CLINIC, NY NY 143 2 CBOC PBO 528GE ROCHESTER VA CLINIC, NY NY 146 2 CBOC PBO 528GK LOCKPORT VA CLINIC, NY NY 140 2 CBOC PBO 528GL MASSENA VA CLINIC, NY NY 136 2 CBOC PBO 528GM DONALD J. MITCHELL VA OPC, NY NY 134 2 CBOC PBO 528GN BINGHAMTON VA CLINIC, NY NY 139 2 CBOC PBO 528GO WATERTOWN VA CLINIC, NY NY 136 2 CBOC PBO 528GP OSWEGO VA CLINIC, NY NY 131 2 CBOC PBO 528GQ LACKAWANNA VA CLINIC, NY NY 142 2 CBOC PBO 528GR OLEAN VA CLINIC, NY NY 147 2 CBOC PBO 528GT GLENS FALLS VA CLINIC, NY NY 128 2 CBOC PBO 528GV PLATTSBURGH VA CLINIC, NY NY 129 2 CBOC PBO 528GW SCHENECTADY VA CLINIC, NY NY 123 2 CBOC PBO 528GX TROY VA CLINIC, NY NY 121 2 CBOC PBO 528GY CLIFTON PARK VA CLINIC, NY NY 120 2 CBOC PBO 528GZ KINGSTON VA CLINIC, NY NY 124 2 CBOC PBO 528MA WATERTOWN, NY (DES) NY 136 2 DES PBO 528QA BUFFALO VA CLINIC, NY NY 142 2 OOS PBO 528QB SAINT VINCENT DEPAUL VA CLINIC, NY NY 142 2 OOS PBO 528QC CLINTON CROSSINGS VA CLINIC, NY NY 146 2 OOS PBO 528QD MOUNT HOPE VA CLINIC, NY NY 146 2 OOS PBO 528QE COUDERSPORT VA CLINIC, NY NY 169 2 OOS NPB 528QF WELLSBORO VA CLINIC, NY NY 169 2 OOS NPB 528QG ERIE WEST VA CLINIC, NY NY 132 2 OOS PBO 528QH SOUTH SALINA VA CLINIC, NY NY 132 2 OOS PBO 528QI ERIE EAST VA CLINIC, NY NY 132 2 OOS PBO 528QK SARANAC LAKE VA CLINIC, NY NY 129 2 OOS NPB 528QL BATH VA MOBILE CLINIC, NY NY 148 2 OOS PBO 528QN WATERTOWN 2 VA CLINIC, NY NY 136 2 OOS NPB 529 ABIE ABRAHAM VA CLINIC, PA PA 160 4 VAMC PBH 529GA MICHAEL A. MERZANO VA OPC, PA PA 161 4 CBOC PBO 529GB LAWRENCE COUNTY VA CLINIC, PA PA 161 4 CBOC PBO 529GC ARMSTRONG COUNTY VA CLINIC, PA PA 162 4 CBOC PBO 529GD CLARION COUNTY VA CLINIC, PA PA 162 4 CBOC PBO 529GF CRANBERRY TOWNSHIP VA CLINIC, PA PA 160 4 CBOC PBO 531 BOISE VA MEDICAL CENTER, ID ID 837 20 VAMC PBH 531GE TWIN FALLS VA CLINIC, ID ID 833 20 CBOC PBO 531GG CALDWELL VA CLINIC, ID ID 836 20 CBOC PBO 531GH BURNS VA CLINIC, OR OR 977 20 CBOC NPB 531GI MOUNTAIN HOME VA CLINIC, ID ID 836 20 CBOC NPB 531GJ SALMON VA CLINIC, ID ID 834 20 CBOC NPB 531JA SALMON ORC, ID ID 834 20 CBOC NPB 531JB BURNS ORC, OR OR 977 20 CBOC NPB 531MA BOISE, ID MOUNTAIN HOME AFB (DES) ID 836 20 DES PBO 531MB BOISE, ID IDAHO ARMY NG (DES) ID 837 20 DES PBO 534 RALPH H. JOHNSON VAMC, SC SC 294 7 VAMC PBH 534BY SAVANNAH, GA GA 314 7 CBOC PBO 534GB MYRTLE BEACH VA CLINIC, SC SC 295 7 CBOC PBO 534GC BEAUFORT VA CLINIC, SC SC 299 7 CBOC PBO 534GD GOOSE CREEK VA CLINIC, SC SC 294 7 CBOC PBO 534GE HINESVILLE VA CLINIC, GA GA 313 7 CBOC PBO 534GF TRIDENT 1 VA CLINIC, SC SC 294 7 CBOC PBO 534MA BEAUFORT, SC (DES) (NAV HOSP BEAUFORT) SC 299 7 DES PBO

Page 5: Supplement Table 3 VA Medical Facility Locations, …Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of

Supplement Table 3 VA Medical Facility

Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/14/2017

RCV3p23 FacilityList 2017-12-14FR.xls Page 5 of 18

Sta # VA Facility Location ST ZIP 3 VN TYPE PB 534MB GOOSE CREEK, SC (DES) (NAV HLTH CLINIC CHARLESTON) SC 294 7 DES PBO 534MC CHARLESTON, SC (DES) (CHARLESTON AFB) SC 294 7 DES PBO 534MD FT STEWART, GA (DES) GA 313 7 DES PBO 534QA MARKET COMMONS VA CLINIC, SC SC 295 7 OOS NPB 534QB TRIDENT 2 VA CLINIC, SC SC 294 7 OOS PBO 534QC CHARLESTON VA CLINIC, SC SC 294 7 OOS PBO 537 JESSE BROWN VAMC, IL IL 606 12 VAMC PBH 537BY ADAM BENJAMIN JR. VA OPC, IN IN 463 12 CBOC PBO 537GA CHICAGO HEIGHTS VA CLINIC, IL IL 604 12 CBOC PBO 537GD LAKESIDE VA CLINIC, IL IL 606 12 CBOC PBO 537HA AUBURN - GRESHAM CBOC, IL IL 606 12 CBOC PBO 537QA CHICAGO VA CLINIC, IL IL 606 12 OOS PBO 538 CHILLICOTHE VA MEDICAL CENTER, OH OH 456 10 VAMC PBH 538GA ATHENS VA CLINIC, OH OH 457 10 CBOC PBO 538GB PORTSMOUTH VA CLINIC, OH OH 456 10 CBOC PBO 538GC MARIETTA VA CLINIC, OH OH 457 10 CBOC PBO 538GD LANCASTER VA CLINIC, OH OH 431 10 CBOC PBO 538GE CAMBRIDGE VA CLINIC, OH OH 437 10 CBOC PBO 538GF WILMINGTON VA CLINIC, OH OH 451 10 CBOC NPB 538QA CHILLICOTHE VA MOBILE CLINIC, OH OH 456 10 OOS PBO 539 CINCINNATI VA MEDICAL CENTER, OH OH 452 10 VAMC PBH 5399AA CINCINNATI COMMUNITY LIVING CENTER, OH OH 452 10 CLC PBH 5399AB FORT THOMAS COMMUNITY LIVING CENTER, KY KY 410 10 CLC PBH 539A4 CINCINNATI VAMC-FORT THOMAS, KY KY 410 10 VAMC PBH 539BV FORT THOMAS PRRTP, KY KY 410 10 DOM PBO 539GA BELLEVUE VA CLINIC, KY KY 410 10 CBOC PBO 539GB CLERMONT COUNTY VA CLINIC, OH OH 452 10 CBOC PBO 539GC DEARBORN VA CLINIC, IN IN 470 10 CBOC PBO 539GD FLORENCE VA CLINIC, OH OH 410 10 CBOC PBO 539GE HAMILTON VA CLINIC, OH OH 450 10 CBOC PBO 539GF GEORGETOWN VA CLINIC, OH OH 451 10 CBOC PBO 539QA CINCINNATI VA MOBILE CLINIC, OH OH 452 10 OOS PBO 539QB HIGHLAND AVENUE VA CLINIC, OH OH 452 10 OOS PBO 540 LOUIS A. JOHNSON VAMC, WV WV 263 5 VAMC PBH 540GA TUCKER COUNTY VA CLINIC, WV WV 262 5 CBOC PBO 540GB PARKERSBURG, WV WV 261 5 CBOC PBO 540GC BRAXTON COUNTY VA CLINIC, WV WV 266 5 CBOC PBO 540GD MONONGALIA COUNTY VA CLINIC, WV WV 265 5 CBOC PBO 540HK CLARKSBURG VA MOBILE CLINIC, WV WV 263 5 MOC PBO 541 LOUIS STOKES CLEVELAND VAMC, OH OH 441 10 VAMC PBH 541BY CANTON, OH OH 447 10 CBOC PBO 541BZ YOUNGSTOWN, OH OH 445 10 CBOC PBO 541GB LORAIN VA CLINIC, OH OH 440 10 CBOC PBO 541GC SANDUSKY VA CLINIC, OH OH 448 10 CBOC PBO 541GD DAVID F. WINDER VA CBOC, OH OH 449 10 CBOC PBO 541GE MCCAFFERTY VA CLINIC, OH OH 441 10 CBOC PBO 541GF PAINESVILLE VA CLINIC, OH OH 440 10 CBOC PBO 541GG AKRON VA CLINIC, OH OH 443 10 CBOC PBO 541GH EAST LIVERPOOL VA CLINIC, OH OH 439 10 CBOC PBO 541GI WARREN VA CLINIC, OH OH 444 10 CBOC PBO 541GJ NEW PHILADELPHIA VA CLINIC, OH OH 446 10 CBOC PBO 541GK RAVENNA VA CLINIC, OH OH 442 10 CBOC PBO 541GL PARMA VA CLINIC, OH OH 441 10 CBOC PBO 541GM CLEVELAND VA CLINIC-SUPERIOR, OH OH 441 10 CBOC PBO 541GN STATE STREET VA CLINIC, OH OH 440 10 MSCBOC PBO 541QA SUMMIT COUNTY VA CLINIC, OH OH 443 10 OOS PBO 541QB CLEVELAND VA CLINIC-EUCLID, OH OH 441 10 OOS PBO 541QC CLEVELAND 1 VA MOBILE CLINIC, OH OH 441 10 OOS PBO 541QD CLEVELAND 2 VA MOBILE CLINIC, OH OH 441 10 OOS PBO 541QE CLEVELAND EAST BLVD 3 MBL CLN, OH OH 441 10 OOS PBO 541QF CUYAHOGA COUNTY 4 VA MBL CLN, OH OH 441 10 OOS PBO 542 COATESVILLE VA MEDICAL CENTER, PA PA 193 4 VAMC PBH 542BU COATESVILLE DOMICILIARY, PA PA 193 4 DOM PBO 542GA SPRINGFIELD, PA PA 190 4 CBOC PBO 542GE SPRING CITY VA CLINIC, PA PA 194 4 CBOC PBO 544 WM. JENNINGS BRYAN DORN VAMC, SC SC 292 7 VAMC PBH 544BZ GREENVILLE VA CLINIC, SC SC 296 7 CBOC PBO 544GB FLORENCE VA CLINIC, SC SC 295 7 CBOC PBO 544GC ROCK HILL VA CLINIC, SC SC 297 7 CBOC PBO 544GD ANDERSON VA CLINIC, SC SC 296 7 CBOC PBO 544GE ORANGEBURG VA CLINIC, SC SC 291 7 CBOC PBO 544GF SUMTER VA CLINIC, SC SC 291 7 CBOC PBO 544GG SPARTANBURG VA CLINIC, SC SC 293 7 CBOC PBO 544HK COLUMBIA VA MOBILE CLINIC, SC SC 292 7 MOC PBO 544MA SHAW AFB, SC (DES) SC 291 7 DES PBO 544MB FT JACKSON, SC (DES) SC 292 7 DES PBO 546 BRUCE W. CARTER DEPT OF VAMC, FL FL 331 8 VAMC PBH 546BZ WILLIAM "BILL" KLING VAOC, FL FL 333 8 CBOC PBO 546GA MIAMI, FL (OSAC) FL 331 8 CBOC PBO 546GB KEY WEST, FL FL 330 8 CBOC PBO 546GC HOMESTEAD VA CLINIC, FL FL 330 8 CBOC PBO

Page 6: Supplement Table 3 VA Medical Facility Locations, …Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of

Supplement Table 3 VA Medical Facility

Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/14/2017

RCV3p23 FacilityList 2017-12-14FR.xls Page 6 of 18

Sta # VA Facility Location ST ZIP 3 VN TYPE PB 546GD PEMBROKE PINES VA CLINIC, FL FL 330 8 CBOC PBO 546GE KEY LARGO VA CLINIC, FL FL 330 8 CBOC PBO 546GF HOLLYWOOD VA CLINIC, FL FL 330 8 CBOC PBO 546GH DEERFIELD BEACH VA CLINIC, FL FL 334 8 CBOC NPB 548 WEST PALM BEACH VAMC, FL FL 334 8 VAMC PBH 548GA FORT PIERCE VA CLINIC, FL FL 349 8 CBOC PBO 548GB DELRAY BEACH VA CLINIC, FL FL 334 8 CBOC PBO 548GC STUART VA CLINIC, FL FL 349 8 CBOC PBO 548GD BOCA RATON, FL FL 334 8 CBOC PBO 548GE VERO BEACH VA CLINIC, FL FL 329 8 CBOC PBO 548GF OKEECHOBEE VA CLINIC, FL FL 349 8 CBOC PBO 548QA PORT SAINT LUCIE VA CLINIC, FL FL 349 8 OOS NPB 549 DALLAS VA MEDICAL CENTER, TX TX 752 17 VAMC PBH 5499A BONHAM NHCU, BONHAM, TX TX 754 17 SNF PBH 549A4 SAM RAYBURN MEMORIAL VET CNTR, TX TX 754 17 DOM PBH 549BY FORT WORTH VA CLINIC, TX TX 761 17 CBOC PBO 549GA TYLER VA CLINIC, TX TX 757 17 CBOC PBO 549GD DENTON VA CLINIC, TX TX 762 17 CBOC PBO 549GE BRIDGEPORT VA CLINIC, TX TX 762 17 CBOC PBO 549GF GRANBURY VA CLINIC, TX TX 764 17 CBOC PBO 549GH GREENVILLE VA CLINIC, TX TX 754 17 CBOC PBO 549GJ SHERMAN VA CLINIC, TX TX 750 17 CBOC NPB 549GK POLK STREET VA CLINIC, TX TX 752 17 OOS PBO 549GL PLANO VA CLINIC, TX TX 750 17 CBOC PBO 549HK NORTH TEXAS VA MOBILE CLINIC, TX TX 752 17 MOC PBO 549MA FORT WORTH, TX (DES) TX 761 17 DES PBO 549QA DALLAS VA CLINIC, TX TX 752 17 OOS PBO 549QB EAST LANCASTER VA CLINIC, TX TX 761 17 OOS PBO 549QC BROADWAY VA CLINIC, TX TX 757 17 OOS PBO 550 DANVILLE VA MEDICAL CENTER, IL IL 618 12 VAMC PBH 550BY BOB MICHEL VA OPC, IL IL 616 12 CBOC PBO 550GA DECATUR VA CLINIC, IL IL 625 12 CBOC PBO 550GD SPRINGFIELD VA CLINIC, IL IL 627 12 CBOC PBO 550GF CHARLESTON VA CLINIC, IL IL 619 12 CBOC PBO 552 DAYTON VA MEDICAL CENTER, OH OH 454 10 VAMC PBH 552GA MIDDLETOWN VA CLINIC, OH OH 450 10 CBOC PBO 552GB LIMA VA CLINIC, OH OH 458 10 CBOC PBO 552GC RICHMOND VA CLINIC, IN IN 473 10 CBOC PBO 552GD SPRINGFIELD VA CLINIC, OH OH 455 10 CBOC PBO 552MA DAYTON, OH (DES) OH 454 10 DES PBO 552QA DAYTON 1 VA MOBILE CLINIC, OH OH 454 10 OOS PBO 552QB DAYTON 3rd ST. 2 VA MOBILE CLIN, OH OH 454 10 OOS PBO 552QC MONTGOMERY CO. 3 VA MOBILE CLIN, OH OH 454 10 OOS PBO 553 JOHN D. DINGELL VAMC, MI MI 482 10 VAMC PBH 553BU DETROIT, MI ( HOMELESS DRRTP) MI 483 10 DOM PBO 553GA YALE VA CLINIC, MI MI 480 10 CBOC PBO 553GB PONTIAC VA CLINIC, MI MI 483 10 CBOC PBO 553QA PIQUETTE STREET VA CLINIC, MI MI 482 10 OOS PBO 554 DENVER VA MEDICAL CENTER, CO CO 802 19 VAMC PBH 554A4 PUEBLO VA CLC, CO CO 810 19 CLC PBH 554BU VALOR POINT VA DOMICILIARY, CO CO 802 19 DOM PBO 554GB AURORA VA CLINIC, CO CO 800 19 CBOC PBO 554GC GOLDEN VA CLINIC, CO CO 804 19 CBOC PBO 554GD PFC JAMES DUNN VA CLINIC, CO CO 810 19 CBOC PBO 554GE FLOYD K. LINDSTROM VA CLINIC (CBOC), CO CO 809 19 CBOC NPB 554GF ALAMOSA VA CLINIC, CO CO 811 19 CBOC PBO 554GG LA JUNTA VA CLINIC, CO CO 810 19 CBOC PBO 554GH LAMAR VA CLINIC, CO CO 810 19 CBOC PBO 554GI BURLINGTON VA CLINIC, CO CO 808 19 CBOC PBO 554MA FORT CARSON, CO (DES) CO 809 19 DES PBO 554MB USAF ACADEMY, CO (DES) CO 808 19 DES PBO 554MC AURORA, CO (DES) (BUCKLEY AFB) CO 800 19 DES PBO 554MD PETERSON AFB, CO (DES) CO 809 19 DES PBO 554QA DENVER VA CLINIC, CO CO 802 19 OOS PBO 554QB JEWELL VA CLINIC, CO CO 800 19 OOS PBO 554QC SALIDA VA CLINIC, CO CO 812 19 OOS NPB 556 CHICAGO, IL (NORTH VAMC) IL 600 12 VAMC PBH 556GA EVANSTON VA CLINIC, IL IL 602 12 CBOC PBO 556GC MCHENRY VA CLINIC, IL IL 600 12 CBOC PBO 556GD KENOSHA VA CLINIC, WI WI 531 12 CBOC PBO 556MA NORTH CHICAGO, IL (DES) IL 600 12 DES PBO 557 CARL VINSON VAMC, GA GA 310 7 VAMC PBH 557GA MACON VA CLINIC, GA GA 312 7 CBOC PBO 557GB ALBANY VA CLINIC, GA GA 317 7 CBOC PBO 557GC MILLEDGEVILLE VA CLINIC, GA GA 310 7 CBOC PBO 557GE BRUNSWICK VA CLINIC, GA GA 315 7 CBOC PBO 557GF TIFTON VA CLINIC, GA GA 317 7 CBOC NPB 557HA PERRY VA CLINIC, GA GA 310 7 CBOC PBO 557MA ROBINS AFB, GA (DES) GA 310 7 DES PBO 558 DURHAM VA MEDICAL CENTER, NC NC 277 6 VAMC PBH 558GA GREENVILLE VA CLINIC, NC NC 278 6 CBOC PBO

Page 7: Supplement Table 3 VA Medical Facility Locations, …Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of

Supplement Table 3 VA Medical Facility

Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/14/2017

RCV3p23 FacilityList 2017-12-14FR.xls Page 7 of 18

Sta # VA Facility Location ST ZIP 3 VN TYPE PB 558GB RALEIGH VA CLINIC, NC NC 276 6 CBOC PBO 558GC MOOREHEAD CITY VA CLINIC, NC NC 285 6 CBOC PBO 558GD DURHAM COUNTY VA CLINIC, NC NC 277 6 CBOC PBO 558GE HILLANDALE ROAD VA CLINIC, NC NC 277 6 CBOC PBO 558GF WAKE COUNTY VA CLINIC, NC NC 276 6 CBOC PBO 558GG RALEIGH III VA CLINIC, NC NC 276 6 CBOC PBO 558MA CHERRY POINT, NC (DES) NC 285 6 DES PBO 558QA BRIER CREEK VA CLINIC, NC NC 276 6 OOS PBO 561 EAST ORANGE VA MEDICAL CENTER, NJ NJ 070 2 VAMC PBH 561A4 LYON CAMPUS OF THE VA NEW JERSEY HEALTH CARE SYSTEM, NJ NJ 079 2 VAMC PBH 561BY NEWARK, NJ (SAC) NJ 071 2 CBOC PBO 561BZ BRICK, NJ NJ 087 2 CBOC PBO 561GA HAMILTON VA CLINIC, NJ NJ 086 2 CBOC PBO 561GB ELIZABETH VA CLINIC, NJ NJ 072 2 CBOC PBO 561GD HACKENSACK VA CLINIC, NJ NJ 076 2 CBOC PBO 561GE JERSEY CITY VA CLINIC, NJ NJ 073 2 CBOC PBO 561GF PISCATAWAY VA CLINIC, NJ NJ 088 2 CBOC PBO 561GH MORRISTOWN VA CLINIC, NJ NJ 079 2 CBOC PBO 561GI TINTON FALLS VA CLINIC, NJ NJ 077 2 CBOC PBO 561GJ PATERSON CBOC, NJ NJ 075 2 CBOC PBO 561GK SUSSEX VA CLINIC, NJ NJ 078 2 CBOC NPB 561HB JAMESBURG, NJ NJ 088 2 CBOC PBO 561MA EAST ORANGE, NJ (DES) NJ 070 2 DES PBO 562 ERIE VA MEDICAL CENTER, PA PA 165 4 VAMC PBH 562GA CRAWFORD COUNTY VA CLINIC, PA PA 163 4 CBOC PBO 562GB ASHTABULA COUNTY VA CLINIC, OH OH 440 4 CBOC PBO 562GC McKEAN COUNTY VA CLINIC, PA PA 167 4 CBOC PBO 562GD VENANGO COUNTY VA CLINIC, PA PA 163 4 CBOC PBO 562GE WARREN CTY, PA PA 163 4 CBOC PBO 564 FAYETTEVILLE VA MEDICAL CENTER, AR AR 727 16 VAMC PBH 564BY MOUNT VERNON, MO MO 657 16 CBOC PBO 564GA HARRISON VA CLINIC, AR AR 726 16 CBOC PBO 564GB FORT SMITH VA CLINIC, AR AR 729 16 CBOC PBO 564GC BRANSON VA CLINIC, MO MO 656 16 CBOC PBO 564GD OZARK VA CLINIC, AR AR 729 16 CBOC PBO 564GE JAY VA CLINIC, OK OK 743 16 CBOC PBO 564QA TOWNSHIP VA CLINIC, AR AR 727 16 OOS PBO 564QB SUNBRIDGE VA CLINIC, AR AR 727 16 OOS PBO 565 FAYETTEVILLE VA MEDICAL CENTER, NC NC 283 6 VAMC PBH 565GA JACKSONVILLE VA CLINIC, NC NC 285 6 CBOC NPB 565GC WILMINGTON VA CLINIC, NC NC 284 6 CBOC NPB 565GD HAMLET VA CLINIC, NC NC 283 6 CBOC PBO 565GE ROBESON COUNTY VA CLINIC, NC NC 283 6 CBOC PBO 565GF GOLDSBORO VA CLINIC, NC NC 275 6 CBOC PBO 565GG LEE COUNTY VA CLINIC, NC NC 273 6 CBOC PBO 565GH BRUNSWICK COUNTY VA CLINIC, NC NC 284 6 CBOC NPB 565GJ JACKSONVILLE 2 VA CLINIC, NC NC 285 6 CBOC NPB 565GL CUMBERLAND COUNTY VA CLINIC, NC NC 283 6 CBOC PBO 565MA SEYMOUR JOHNSON AFB, NC (DES) NC 275 6 DES PBO 565MB FT BRAGG, NC (DES) NC 283 6 DES PBO 565MC FT BRAGG, NC (DES) (FORT POPE) NC 283 6 DES PBO 565MD CAMP LEJUNE, NC (DES) NC 285 6 DES PBO 565QA ROBESON STREET VA CLINIC, NC NC 283 6 OOS PBO 565QB FAYETTEVILLE VA MOBILE CLINIC, NC NC 283 6 OOS PBO 565QC FAYETTEVILLE 2 VA MOBILE CLINIC, NC NC 283 6 OOS PBO 565QD RAEFORD ROAD VA CLINIC, NC NC 283 6 OOS PBO 5659AA FAYETTEVILLE VA COMMUNITY LIVING CENTER, NC NC 283 6 CLC PBH 568 FORT MEADE VA MEDICAL CENTER, SD SD 577 23 VAMC PBH 568A4 VA BLACK HILLS HEALTH CARE SYSTEM – HOT SPRINGS CAMPUS, SD SD 577 23 VAMC PBH 568GA RAPID CITY VA CLINIC, SD SD 577 23 CBOC PBO 568GB PIERRE, SD SD 575 23 CBOC PBO 568HA NEWCASTLE, WY WY 827 23 CBOC PBO 568HB RUSHVILLE, NE NE 693 23 CBOC NPB 568HF PINE RIDGE, SD SD 577 23 CBOC PBO 568HH SCOTTSBLUFF VA CLINIC, NE NE 693 23 CBOC NPB 568HJ MISSION VA CLINIC, SD SD 575 23 CBOC NPB 568HK MCLAUGHLIN VA CLINIC, SD SD 576 23 CBOC PBO 568HP WINNER, SD SD 575 23 CBOC NPB 568MA FORT MEADE, SD (DES) SD 577 23 DES PBO 570 FRESNO VA MEDICAL CENTER, CA CA 937 21 VAMC PBH 570GA MERCED VA CLINIC, CA CA 953 21 CBOC PBO 570GB TULARE VA CLINIC, CA CA 932 21 CBOC PBO 570GC OAKHURST VA CLINIC, CA CA 936 21 CBOC PBO 570MA LEMOORE, CA (DES) CA 937 21 DES PBO 573 MALCOLM RANDALL DEPT OF VAMC, FL FL 326 8 VAMC PBH 573A4 LAKE CITY VA MEDICAL CENTER, FL FL 320 8 VAMC PBH 573BU GAINESVILLE VA DOMICILIARY, FL FL 326 8 DOM PBO 573BY JACKSONVILLE 1 VA CLINIC, FL FL 322 8 CBOC PBO 573GA VALDOSTA, GA GA 316 8 CBOC PBO 573GD OCALA VA CLINIC, FL FL 344 8 CBOC PBO 573GE SAINT AUGUSTINE VA CLINIC, FL FL 320 8 CBOC PBO

Page 8: Supplement Table 3 VA Medical Facility Locations, …Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of

Supplement Table 3 VA Medical Facility

Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/14/2017

RCV3p23 FacilityList 2017-12-14FR.xls Page 8 of 18

Sta # VA Facility Location ST ZIP 3 VN TYPE PB 573GF TALLAHASSEE VA CLINIC, FL FL 323 8 CBOC NPB 573GG LECANTO VA CLINIC, FL FL 344 8 CBOC PBO 573GI THE VILLAGES VA CLINIC, FL FL 321 8 CBOC PBO 573GJ ST. MARY'S VA CLINIC, GA GA 315 8 CBOC PBO 573GK MARIANNA VA CLINIC, FL FL 324 8 CBOC NPB 573GL PALATKA VA CLINIC, FL FL 321 8 CBOC PBO 573GM WAYCROSS VA CLINIC, GA GA 315 8 CBOC NPB 573GN PERRY VA CLINIC, FL FL 323 8 CBOC PBO 573MA GAINESVILLE, FL (DES)(NAVAL HOSPITAL), FL FL 326 8 DES PBO 573MB GAINESVILLE, FL (DES)(MOODY AIR FORCE BASE), FL FL 326 8 DES PBO 573QA GAINESVILLE 16TH ST VA CLINIC, FL FL 326 8 OOS PBO 573QB GAINESVILLE 98TH ST VA CLINIC, FL FL 326 8 OOS PBO 573QC SIXTY FOURTH STREET VA CLINIC, FL FL 326 8 OOS PBO 573QD GAINESVILLE 64 ST 2 VA CLINIC, FL FL 326 8 OOS PBO 573QE GAINESVILLE 64 ST 3 VA CLINIC, FL FL 326 8 OOS PBO 573QF GAINESVILLE 23RD AVE VA CLINIC, FL FL 326 8 OOS PBO 573QG JACKSONVILLE SOUTHPOINT VA CLINIC, FL FL 322 8 OOS NPB 573QH OCALA WEST VA CLINIC, FL FL 344 8 OOS PBO 573QJ JACKSONVILLE 2 VA CLINIC, FL FL 322 8 OOS PBO 575 GRAND JUNCTION VAMC, CO CO 815 19 VAMC PBH 575GA MONTROSE VA CLINIC, CO CO 814 19 CBOC PBO 575GB MAJ WILLIAM E. ADAMS VA CLINIC, CO (TELE-HEALTH) CO 816 19 CBOC PBO 575QA GLENWOOD SPRINGS VA CLINIC, CO CO 816 19 OOS NPB 575QB MOAB VA CLINIC, UT UT 845 19 OOS NPB 575QC GRAND JUNCTION VA MOBILE CLIN, CO CO 815 19 OOS PBO 578 EDWARD HINES JUNIOR HOSPITAL, IL IL 601 12 VAMC PBH 578GA JOLIET VA CLINIC, IL IL 604 12 CBOC PBO 578GC KANKAKEE COUNTY VA CLINIC, IL IL 609 12 CBOC PBO 578GD AURORA VA CLINIC, IL IL 605 12 CBOC PBO 578GE HOFFMAN ESTATES VA CLINIC, IL IL 601 12 CBOC PBO 578GF LA SALLE VA CLINIC, IL IL 613 12 CBOC PBO 578GG OAK LAWN VA CLINIC, IL IL 604 12 CBOC PBO 580 MICHAEL E. DeBAKEY VAMC, TX TX 770 16 VAMC PBH 580BU HOUSTON VA DOMICILIARY, TX TX 770 16 DOM PBO 580BY BEAUMONT, TX TX 777 16 CBOC PBO 580BZ CHARLES WILSON VA OUTPATIENT CLINIC, TX TX 759 16 CBOC PBO 580GC GALVESTON COUNTY VA CLINIC, TX TX 775 16 CBOC PBO 580GD CONROE VA CLINIC,TX TX 773 16 CBOC PBO 580GE KATY VA CLINIC, TX TX 774 16 CBOC PBO 580GF LAKE JACKSON VA CLINIC, TX TX 775 16 CBOC PBO 580GG RICHMOND VA CLINIC, TX TX 774 16 CBOC PBO 580GH TOMBALL VA CLINIC, TX TX 773 16 CBOC PBO 580GJ TEXAS CITY VA CLINIC, TX TX 775 16 CBOC PBO 581 HUNTINGTON VA MEDICAL CENTER, WV WV 257 5 VAMC PBH 581GA PRESTONSBURG, KY KY 416 5 CBOC PBO 581GB CHARLESTON VA CLINIC, WV WV 253 5 CBOC PBO 581GG GALLIPOLIS VA CLINIC, OH OH 456 5 CBOC PBO 581GH LENORE VA CLINIC, WV WV 256 5 CBOC NPB 581QA HUNTINGTON 9TH ST. VA CLINIC, WV WV 257 5 OOS PBO 581QB HUNTINGTON VA MOBILE CLINIC, WV WV 257 5 OOS PBO 583 RICHARD L. ROUDEBUSH VAMC, IN IN 462 10 VAMC PBH 583BU INDIANAPOLIS VA DOMICILIARY, IN IN 462 10 DOM PBO 583GA TERRE HAUTE VA CLINIC, IN IN 478 10 CBOC PBO 583GB BLOOMINGTON VA CLINIC, IN IN 474 10 CBOC PBO 583GC MARTINSVILLE VA CLINIC, IN IN 461 10 CBOC PBO 583GD INDIANAPOLIS WEST VA CLINIC, IN IN 462 10 CBOC PBO 583GE WEST LAFAYETTE VA CLINIC, IN IN 479 10 CBOC NPB 583GF WAKEMAN VA CLINIC, IN IN 461 10 CBOC PBO 583QA MONROE COUNTY VA CLINIC, IN IN 474 10 OOS NPB 583QB INDIANAPOLIS VA CLINIC, IN IN 462 10 OOS PBO 583QC VIGO COUNTY VA CLINIC, IN IN 478 10 OOS NPB 585 OSCAR G. JOHNSON VAMC, MI MI 498 12 VAMC PBH 585GA HANCOCK VA CLINIC, MI MI 499 12 CBOC PBO 585GB RHINELANDER, WI WI 545 12 CBOC PBO 585GC MENOMINEE VA CLINIC, MI MI 498 12 CBOC PBO 585GD IRONWOOD VA CLINIC, MI MI 499 12 CBOC PBO 585GF MANISTIQUE VA CLINIC, MI MI 498 12 CBOC NPB 585HA MARQUETTE, MI MI 498 12 CBOC PBO 585HB SAULT SAINTE MARIE VA CLINIC, MI MI 497 12 CBOC PBO 586 G.V. (SONNY) MONTGOMERY VAMC, MS MS 392 16 VAMC PBH 586BU JACKSON VA DOMICILIARY, MS MS 392 16 DOM PBO 586GA KOSCIUSKO, MS MS 390 16 CBOC PBO 586GB MERIDIAN VA CLINIC, MS MS 393 16 CBOC PBO 586GC GREENVILLE VA CLINIC, MS MS 387 16 CBOC PBO 586GD HATTIESBURG VA CLINIC, MS MS 394 16 CBOC PBO 586GE NATCHEZ, MS MS 391 16 CBOC PBO 586GF COLUMBUS VA CLINIC, MS MS 397 16 CBOC PBO 586GG MCCOMB VA CLINIC, MS MS 396 16 CBOC PBO 586MA JACKSON, MS (DES) (MERIDIAN NAVAL) MS 392 16 DES PBO 586QA JACKSON VA MOBILE CLINIC, MS MS 392 16 OOS PBO 586QB DOGWOOD VIEW PARKWAY VA CLINIC, MS MS 392 16 OOS PBO

Page 9: Supplement Table 3 VA Medical Facility Locations, …Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of

Supplement Table 3 VA Medical Facility

Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/14/2017

RCV3p23 FacilityList 2017-12-14FR.xls Page 9 of 18

Sta # VA Facility Location ST ZIP 3 VN TYPE PB 586QC LAKELAND DRIVE VA CLINIC, MS MS 392 16 OOS PBO 589 KANSAS CITY VA MEDICAL CENTER, MO MO 641 15 VAMC PBH 589A4 HARRY S. TRUMAN VAMC, MO MO 652 15 VAMC PBH 589A5 COLMERY-O'NEIL VAMC, KS KS 666 15 VAMC PBH 589A6 DWIGHT D. EISENHOWER VAMC, KS KS 660 15 VAMC PBH 589A7 ROBERT J. DOLE VAMC, KS KS 672 15 VAMC PBH 589BX HARRY S. TRUMAN DOMICILIARY, MO MO 652 15 DOM PBO 589DQ WICHITA, KS (NON-VA HOSPITALS) KS 627 15 CMC PBH 589DS KANSAS CITY, KS (NON-VA HOSPITALS) KS 641 15 CMC PBH 589G1 WARRENSBURG VA CLINIC, MO MO 640 15 CBOC PBO 589G2 DODGE CITY VA CLINIC, KS KS 678 15 CBOC PBO 589G3 LIBERAL VA CLINIC, KS KS 679 15 CBOC PBO 589G4 HAYS VA CLINIC, KS KS 676 15 CBOC PBO 589G5 PARSONS VA CLINIC, KS KS 673 15 CBOC PBO 589G7 HUTCHINSON VA CLINIC,KS KS 675 15 CBOC PBO 589G8 JEFFERSON CITY VA CLINIC, MO MO 651 15 CBOC PBO 589G9 FORT RILEY VA CLINIC, KS KS 664 15 CBOC NPB 589GB BELTON VA CLINIC, MO MO 640 15 CBOC PBO 589GC PAOLA VA CLINIC, KS KS 660 15 CBOC PBO 589GD NEVADA VA CLINIC, MO MO 647 15 CBOC PBO 589GE KIRKSVILLE VA CLINIC, MO MO 635 15 CBOC PBO 589GF FORT LEONARD WOOD VA CLINIC, MO MO 655 15 CBOC PBO 589GH LAKE OF THE OZARKS VA CLINIC, MO MO 650 15 CBOC PBO 589GI ST. JOSEPH VA CLINIC, MO MO 645 15 CBOC PBO 589GJ WYANDOTTE COUNTY VA CLINIC, KS KS 661 15 CBOC PBO 589GM CHANUTE VA CLINIC, KS KS 667 15 CBOC PBO 589GN EMPORIA VA CLINIC, KS KS 668 15 CBOC PBO 589GP GARNETT VA CLINIC, KS KS 660 15 CBOC PBO 589GR LT. GEN RICHARD J SEITZ CBOC, KS KS 664 15 CBOC PBO 589GU LAWRENCE VA CLINIC, KS KS 660 15 CBOC PBO 589GV FORT SCOTT VA CLINIC, KS KS 667 15 CBOC PBO 589GW SALINA, KS KS 674 15 CBOC PBO 589GX MEXICO VA CLINIC, MO MO 652 15 CBOC PBO 589GY ST. JAMES VA CLINIC, MO MO 655 15 CBOC PBO 589GZ CAMERON VA CLINIC, MO MO 644 15 CBOC PBO 589HK KANSAS CITY VA MOBILE CLINIC, MO MO 641 15 MOC PBO 589JA SEDALIA VA CLINIC, MO MO 653 15 CBOC PBO 589JB EXCELSIOR SPRINGS VA CLINIC, MO MO 640 15 CBOC PBO 589JD MARSHFIELD VA CLINIC, MO MO 657 15 CBOC PBO 589JE PLATTE CITY VA CLINIC, MO MO 640 15 CBOC PBO 589JF HONOR VA CLINIC, MO MO 641 15 MSCBOC PBO 589MA FT. RILEY, KS (DES) KS 664 15 DES PBO 589MB WICHITA, KS (DES) KS 672 15 DES PBO 589MC KANSAS CITY, MO (DES) MO 641 15 DES PBO 589MD LEAVENWORTH, KS (DES) KS 660 15 DES PBO 589ME FORT LEONARD WOOD, MO (DES) MO 654 15 DES PBO 589QA OVERLAND PARK VA CLINIC, KS KS 662 15 OOS PBO 589QB SEDGWICK COUNTY VA CLINIC, KS KS 672 15 OOS PBO 589QC SOUTH PARKLANE VA CLINIC, KS KS 672 15 OOS PBO 589QD WICHITA VA MOBILE CLINIC, KS KS 672 15 OOS PBO 590 HAMPTON VA MEDICAL CENTER, VA VA 236 6 VAMC PBH 590GA NORFOLK, VA VA 235 6 CBOC PBO 590GB VIRGINIA BEACH VA CLINIC, VA VA 234 6 CBOC PBO 590GC ALBEMARLE VA CLINIC, NC NC 279 6 CBOC PBO 590GD CHESAPEAKE VA CLINIC, VA VA 233 6 CBOC PBO 590MA PORTSMOUTH, VA (DES) VA 237 6 DES PBO 590MB LANGLEY AFB, VA (DES) VA 236 6 DES PBO 590MC FORT EUSTIS, VA (DES) VA 236 6 DES PBO 590QA HAMPTON VA MOBILE CLINIC, VA VA 236 6 OOS PBO 590QB HAMPTON CITY CNTY MOBILE CLNC, VA VA 236 6 MOC PBO 593 LAS VEGAS VA MEDICAL CENTER, NV NV 890 21 VAMC PBH 593GC PAHRUMP VA CLINIC, NV NV 890 21 CBOC PBO 593GD NORTHWEST LAS VEGAS VA CLINIC, NV NV 891 21 CBOC PBO 593GE SOUTHEAST LAS VEGAS VA CLINIC, NV NV 890 21 CBOC PBO 593GF SOUTHWEST LAS VEGAS VA CLINIC, NV NV 891 21 CBOC PBO 593GG NORTHEAST LAS VEGAS VA CLINIC, NV NV 891 21 CBOC PBO 593GH JESSE DEAN VA CLINIC, NV NV 890 21 CBOC PBO 593MA LAS VEGAS, NV (DES) NV 891 21 DES PBO 593QB LAUGHLIN VA MOBILE CLINIC, NV NV 890 21 OOS PBO 593QC WEST CHEYENNE VA CLINIC, NV NV 890 21 OOS PBO 595 LEBANON VA MEDICAL CENTER, PA PA 170 4 VAMC PBH 595GA CAMP HILL VA CLINIC, PA PA 170 4 CBOC PBO 595GC LANCASTER VA CLINIC, PA PA 176 4 CBOC PBO 595GD BERKS COUNTY VA CLINIC, PA PA 196 4 CBOC PBO 595GE YORK VA CLINIC, PA PA 174 4 CBOC PBO 595GF POTTSVILLE VA CLINIC, PA PA 179 4 CBOC PBO 595QA FORT INDIANTOWN GAP VA CLINIC, PA PA 170 4 OOS PBO 596 LEXINGTON VAMC-LEESTOWN, KY KY 405 9 VAMC PBH 596A4 LEXINGTON VAMC - COOPER DIVISION, KY KY 405 9 VAMC PBH 596GA SOMERSET VA CLINIC, KY KY 425 9 CBOC NPB 596GB MOREHEAD VA CLINIC, KY KY 403 9 CBOC NPB

Page 10: Supplement Table 3 VA Medical Facility Locations, …Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of

Supplement Table 3 VA Medical Facility

Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/14/2017

RCV3p23 FacilityList 2017-12-14FR.xls Page 10 of 18

Sta # VA Facility Location ST ZIP 3 VN TYPE PB 596GC HAZARD VA CLINIC, KY KY 417 9 CBOC NPB 596GD BEREA VA CLINIC, KY KY 404 9 CBOC PBO 596QA CUMBERLAND RIVER VA CLINIC, KY KY 407 9 OOS NPB 598 JOHN L. MCCLELLAN MEM VET HOSP, AR AR 722 16 VAMC PBH 598A0 CENTRAL ARKANSAS VETERANS HCS EUGENE J. TOWBIN HEALTHCARE CENTER AR 721 16 VAMC PBH 598GA MOUNTAIN HOME VA CLINIC, AR AR 726 16 CBOC PBO 598GB EL DORADO VA CLINIC, AR AR 717 16 CBOC PBO 598GC HOT SPRINGS VA CLINIC, AR AR 719 16 CBOC PBO 598GD MENA CBOC, AR AR 719 16 CBOC PBO 598GE PINE BLUFF VA CLINIC, AR AR 716 16 CBOC PBO 598GF SEARCY VA CLINIC, AR AR 721 16 CBOC PBO 598GG CONWAY VA CLINIC, AR AR 720 16 CBOC PBO 598GH RUSSELLVILLE VA CLINIC, AR AR 728 16 CBOC PBO 598MA NORTH LITTLE ROCK, AR (DES) AR 721 16 DES PBO 598QA LITTLE ROCK VA CLINIC, AR AR 722 16 OOS PBO 598QB LITTLE ROCK VA MOBILE CLINIC, AR AR 722 16 OOS PBO 600 LONG BEACH VA MEDICAL CENTER, CA CA 908 22 VAMC PBH 6009AA LONG BEACH VA COMMUNITY LIVING CENTER, CA CA 908 22 CLC PBH 600GA ANAHEIM VA CLINIC, CA CA 928 22 CBOC PBO 600GB SANTA ANA VA CLINIC, CA CA 927 22 CBOC PBO 600GC CABRILLO VA CLINIC, CA CA 908 22 CBOC PBO 600GD SANTA FE SPRINGS VA CLINIC, CA CA 906 22 CBOC PBO 600GE LAGUNA HILLS, CA CA 908 22 CBOC PBO 600QA WEST SANTA ANA VA CLINIC, CA CA 927 22 OOS PBO 600QB LONG BEACH VA MOBILE CLINIC, CA CA 908 22 OOS PBO 603 ROBLEY REX VAMC, KY KY 402 9 VAMC PBH 603GA FORT KNOX, KY KY 401 9 CBOC PBO 603GB NEW ALBANY VA CLINIC, IN IN 471 9 CBOC PBO 603GC SHIVELY VA CLINIC, KY KY 402 9 CBOC PBO 603GD DUPONT VA CLINIC, KY KY 402 9 CBOC PBO 603GE NEWBURG VA CLINIC, KY KY 402 9 CBOC PBO 603GF GRAYSON COUNTY VA CLINIC, KY KY 427 9 CBOC PBO 603GG SCOTT COUNTY VA CLINIC, IN IN 471 9 CBOC PBO 603GH CARROLLTON VA CLINIC, KY KY 410 9 CBOC PBO 603MA FORT KNOX, KY (DES) KY 401 9 DES PBO 603PB LOUISVILLE, KY (SARRTP) KY 402 9 SARRTP PBO 605 JERRY L. PETTIS MEM VET HOSP, CA CA 923 22 VAMC PBH 605BZ LOMA LINDA VA CLINIC, CA CA 923 22 HCC PBO 605GA VICTORVILLE, CA CA 923 22 CBOC PBO 605GB MURRIETA VA CLNIC, CA CA 925 22 CBOC PBO 605GC PALM DESERT VA CLINIC, CA CA 922 22 CBOC PBO 605GD CORONA VA CLINIC, CA CA 928 22 CBOC PBO 605GE RANCHO CUCAMONGA VA CLINIC, CA CA 917 22 CBOC PBO 605MA LOMA LINDA, CA (DES) (29 PALMS) CA 923 22 DES PBO 605MB LOMA LINDA, CA (DES) (FORT IRWIN) CA 923 22 DES PBO 605QA BLYTHE VA CLINIC, CA CA 922 22 OOS NPB 607 WILLIAM S. MIDDLETON MEM HOSP, WI WI 537 12 VAMC PBH 607GC JANESVILLE VA CLINIC, WI WI 535 12 CBOC PBO 607GD BARABOO VA CLINIC, WI WI 539 12 CBOC PBO 607GE BEAVER DAM VA CLINIC, WI WI 539 12 CBOC PBO 607GF FREEPORT VA CLINIC, IL IL 610 12 CBOC PBO 607GG MADISON WEST VA CLINIC, WI WI 537 12 CBOC PBO 607HA ROCKFORD, IL IL 611 12 CBOC PBO 6079AA MADISON VA COMMUNITY LIVING CENTER, WI WI 537 12 CLC PBH 608 MANCHESTER VA MEDICAL CENTER, NH NH 031 1 VAMC PBH 608GA PORTSMOUTH VA CLINIC, NH NH 038 1 CBOC PBO 608GC SOMERSWORTH VA CLINIC, NH NH 038 1 CBOC PBO 608GD CONWAY VA CLINIC, NH NH 038 1 CBOC PBO 608HA TILTON VA CLINIC, NH NH 032 1 CBOC PBO 608MA MANCHESTER, NH (DES) NH 030 1 DES PBO 610 MARION VA MEDICAL CENTER, IN IN 469 10 VAMC PBH 610A4 FORT WAYNE VA MEDICAL CENTER, IN IN 468 10 VAMC PBH 610BY ST. JOSEPH COUNTY VA CLINIC, IN IN 465 10 HCC NPB 610GB MUNCIE VA CLINIC, IN IN 473 10 CBOC PBO 610GC GOSHEN VA CLINIC, IN IN 465 10 CBOC NPB 610GD PERU VA CLINIC, IN IN 469 10 CBOC PBO 610PB MARION, IN (PRRTP) IN 469 10 CBOC PBO 610QA FORT WAYNE VA CLINIC, IN IN 468 10 OOS PBO 610QB COLUMBIA PLACE VA CLINIC, IN IN 466 10 OOS NPB 612 NORTHERN CALIFORNIA HCS, CA CA 945 21 VAMC PBH 612A4 SACRAMENTO VA MEDICAL CENTER,CA CA 956 21 VAMC PBH 612B4 REDDING VA CLINIC, CA CA 960 21 CBOC NPB 612BY OAKLAND VA CLINIC, CA CA 946 21 CBOC PBO 612CZ TRAVIS AFB, CA CA 945 21 CBOC PBO 612GD FAIRFIELD VA CLINIC, CA CA 945 21 CBOC PBO 612GE MARE ISLAND VA CLINIC, CA CA 945 21 CBOC PBO 612GF MARTINEZ VA MEDICAL CENTER, CA CA 945 21 VAMC PBH 612GG CHICO VA CLINIC, CA CA 959 21 CBOC NPB 612GH MCCLELLAN VA CLINIC, CA CA 956 21 CBOC PBO 612GI YUBA CITY VA CLINIC, CA CA 959 21 CBOC NPB 612GJ YREKA VA CLINIC, CA CA 960 21 CBOC NPB

Page 11: Supplement Table 3 VA Medical Facility Locations, …Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of

Supplement Table 3 VA Medical Facility

Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/14/2017

RCV3p23 FacilityList 2017-12-14FR.xls Page 11 of 18

Sta # VA Facility Location ST ZIP 3 VN TYPE PB 612MA MCCLELLAN PARK, CA (DES) CA 956 21 DES PBO 612QA COHASSET VA CLINIC, CA CA 959 21 OOS NPB 612QB TWENTY FIRST STREET VA CLINIC, CA CA 946 21 OOS NPB 612QC CYPRESS AVENUE VA CLINIC, CA CA 960 21 OOS NPB 612QD HOWE ROAD VA CLINIC, CA CA 945 21 OOS PBO 613 MARTINSBURG VA MEDICAL CENTER, WV WV 254 5 VAMC PBH 613GA CUMBERLAND, MD MD 215 5 CBOC PBO 613GB HAGERSTOWN VA CLINIC, MD MD 217 5 CBOC PBO 613GC STEPHENS CITY VA CLINIC, VA VA 226 5 CBOC PBO 613GD FRANKLIN VA CLINIC, WV WV 268 5 CBOC PBO 613GE PETERSBURG VA CLINIC, WV WV 268 5 CBOC PBO 613GF HARRISONBURG VA CLINIC, VA VA 228 5 CBOC PBO 613GG FORT DETRICK VA CLINIC, MD MD 217 5 CBOC PBO 614 MEMPHIS VA MEDICAL CENTER, TN TN 381 9 VAMC PBH 614GA TUPELO VA CLINIC, MS MS 388 9 CBOC PBO 614GB JONESBORO VA CLINIC, AR AR 724 9 CBOC PBO 614GC HOLLY SPRINGS VA CLINIC, MS MS 386 9 CBOC PBO 614GD SAVANNAH VA CLINIC, TN TN 383 9 CBOC PBO 614GE COVINGTON VA CLINIC, TN TN 381 9 CBOC PBO 614GF NONCONNAH BOULEVARD VA CLINIC, TN TN 381 9 CBOC PBO 614GG JACKSON VA CLINIC, TN TN 383 9 CBOC PBO 614GI DYERSBURG VA CLINIC, TN TN 380 9 CBOC PBO 614GN HELENA VA CLINIC, AR AR 723 9 CBOC PBO 614MA MEMPHIS, TN (DES) TN 381 9 DES PBO 614QA UNION AVENUE VA CLINIC, TN TN 381 9 OOS PBO 618 MINNEAPOLIS VA MEDICAL CENTER, MN MN 554 23 VAMC PBH 618BY TWIN PORTS VA CLINIC, WI WI 548 23 CBOC PBO 618GA ST. JAMES VA CLINIC, MN MN 560 23 CBOC PBO 618GB HIBBING VA CLINIC, MN MN 557 23 CBOC PBO 618GD MAPLEWOOD VA CLINIC, MN MN 551 23 CBOC PBO 618GE CHIPPEWA VALLEY VA CLINIC, WI WI 547 23 CBOC PBO 618GG ROCHESTER VA CLINIC, MN MN 559 23 CBOC PBO 618GH HAYWARD VA CLINIC, WI WI 548 23 CBOC PBO 618GI NORTHWEST METRO VA CLINIC, MN MN 553 23 CBOC PBO 618GJ SHAKOPEE VA CLINIC, MN MN 553 23 CBOC PBO 618GK ALBERT LEA VA CLINIC, MN MN 560 23 CBOC PBO 618GL MINNEAPOLIS VA CLINIC, MN MN 554 23 CBOC PBO 618GM RICE LAKE VA CLINIC, WI WI 548 23 CBOC NPB 618GN LYLE C. PEARSON CBOC, MN MN 560 23 CBOC NPB 618QA FORT SNELLING VA CLINIC, MN MN 551 23 OOS PBO 619 MONTGOMERY VA MEDICAL CENTER, AL AL 361 7 VAMC PBH 619A4 CENTRAL ALABAMA VA-TUSKEGEE, AL AL 360 7 VAMC PBH 619GA COLUMBUS VA CLINIC, GA GA 319 7 CBOC NPB 619GB DOTHAN 1 VA CLINIC, AL AL 363 7 CBOC PBO 619GD WIREGRASS VA CLINIC, AL AL 363 7 CBOC PBO 619GE MONROE COUNTY VA CLINIC, AL AL 364 7 CBOC PBO 619GF CENTRAL ALABAMA MONTGOMERY VA CLINIC, AL AL 361 7 CBOC PBO 619MA MAXWELL AFB, AL (DES) AL 361 7 DES PBO 619QA DOTHAN 2 VA CLINIC,AL AL 363 7 OOS NPB 619QB FORT BENNING VA CLINIC, GA GA 319 7 OOS NPB 620 FRANKLIN D. ROOSEVELT HOSPITAL, NY NY 105 2 VAMC PBH 620A4 CASTLE POINT VA MEDICAL CENTER, NY NY 125 2 VAMC PBH 620BU MONTROSE, NY (DOMICILIARY) NY 105 2 DOM PBO 620GA NEW CITY VA CLINIC, NY NY 109 2 CBOC PBO 620GB CARMEL VA CLINIC, NY NY 105 2 CBOC PBO 620GD GOSHEN VA CLINIC, NY NY 109 2 CBOC PBO 620GE PORT JERVIS VA CLINIC, NY NY 127 2 CBOC NPB 620GF MONTICELLO VA CLINIC, NY NY 127 2 CBOC NPB 620GG POUGHKEEPSIE VA CLINIC, NY NY 126 2 CBOC PBO 620GH EASTERN DUTCHESS VA CLINIC, NY NY 125 2 CBOC NPB 620MA MONTROSE, NY (DES) NY 105 2 DES PBO 620QA MONTROSE 1 VA MOBILE CLINIC, NY NY 105 2 OOS PBO 620QB MONTROSE 2 VA MOBILE CLINIC, NY NY 105 2 OOS PBO 620QC MONTROSE 3 VA MOBILE CLINIC, NY NY 105 2 OOS PBO 621 JAMES H. QUILLEN VAMC, TN TN 376 9 VAMC PBH 621BY WILLIAM C. TALLENT VA OPC, TN TN 379 9 CBOC PBO 621GA ROGERSVILLE VA CLINIC, TN TN 378 9 CBOC PBO 621GC NORTON VA CLINIC, VA VA 242 9 CBOC PBO 621GG MORRISTOWN VA CLINIC, TN TN 378 9 CBOC PBO 621GI SEVIERVILLE VA CLINIC, TN TN 378 9 CBOC PBO 621GJ BRISTOL VA CLINIC, VA VA 242 9 CBOC PBO 621GK CAMPBELL COUNTY VA CLINIC, TN TN 377 9 CBOC PBO 621QA JONESVILLE VA CLINIC, VA VA 242 9 OOS NPB 621QB MARION VA CLINIC, VA VA 243 9 OOS NPB 621QC VANSANT VA CLINIC, VA VA 246 9 OOS NPB 621QD KNOX COUNTY VA CLINIC, TN TN 379 9 OOS NPB 621QE DOWNTOWN WEST VA CLINIC, TN TN 379 9 OOS NPB 623 JACK C. MONTGOMERY VAMC, OK OK 744 19 VAMC PBH 623BY TULSA, OK OK 741 19 CBOC PBO 623GA HARTSHORNE VA CLINIC, OK OK 745 19 CBOC PBO 623GB VINITA VA CLINIC, OK OK 743 19 CBOC PBO

Page 12: Supplement Table 3 VA Medical Facility Locations, …Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of

Supplement Table 3 VA Medical Facility

Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/14/2017

RCV3p23 FacilityList 2017-12-14FR.xls Page 12 of 18

Sta # VA Facility Location ST ZIP 3 VN TYPE PB 623GC MC CURTAIN COUNTY VA CLINIC, OK OK 747 19 CBOC NPB 623QA JACK C. MONTGOMERY EAST VA CLINIC, OK OK 744 19 OOS PBO 623QB TULSA ELEVENTH STREET VA CLINIC, OK OK 741 19 OOS NPB 626 NASHVILLE VA MEDICAL CENTER, TN TN 372 9 VAMC PBH 626A4 ALVIN C. YORK VAMC, TN TN 371 9 VAMC PBH 626BV MIDDLE TENNESSEE HCS - ALVIN C. YORK MHRRTP, TN TN 371 9 CBOC PBO 626GA DOVER VA CLINIC, TN TN 370 9 CBOC PBO 626GC BOWLING GREEN VA CLINIC, KY KY 421 9 CBOC PBO 626GE CLARKSVILLE VA CLINIC, TN TN 370 9 CBOC PBO 626GF CHATTANOOGA VA CLINIC, TN TN 374 9 CBOC NPB 626GG TULLAHOMA VA CLINIC, TN TN 373 9 CBOC NPB 626GH COOKEVILLE VA CLINIC, TN TN 385 9 CBOC PBO 626GJ HOPKINSVILLE VA CLINIC, KY KY 422 9 CBOC PBO 626GK MCMINNVILLE VA CLINIC, TN TN 371 9 CBOC NPB 626GL ROANE COUNTY VA CLINIC, TN TN 377 9 CBOC NPB 626GM MAURY COUNTY VA CLINIC, TN TN 384 9 CBOC PBO 626GN ATHENS VA CLINIC, TN TN 373 9 CBOC PBO 626GO INTERNATIONAL PLAZA VA CLINIC, TN TN 372 9 CBOC PBO 626MA FORT CAMPBELL, KY (DES) KY 422 9 DES PBO 626QA ALBION STREET VA CLINIC, TN TN 372 9 OOS PBO 626QB CHARLOTTE AVENUE VA CLINIC, TN TN 372 9 OOS PBO 626QC POINTE CENTRE VA CLINIC, TN TN 374 9 OOS NPB 626QD GLENIS DRIVE VA CLINIC, TN TN 371 9 OOS PBO 629 NEW ORLEANS VA MEDICAL CENTER, LA LA 701 16 VAMC PBH 629BY BATON ROUGE VA CLINIC, LA LA 708 16 CBOC PBO 629GA HOUMA VA CLINIC, LA LA 703 16 CBOC PBO 629GB HAMMOND VA CLINIC, LA LA 704 16 CBOC PBO 629GC SLIDELL VA CLINIC, LA LA 704 16 CBOC PBO 629GD ST. JOHN VA CLINIC, LA LA 700 16 CBOC PBO 629GE FRANKLIN VA CLINIC, LA LA 705 16 CBOC PBO 629GF BOGALUSA VA CLINIC, LA LA 704 16 CBOC PBO 629MA NEW ORLEANS, LA (DES) LA 701 16 DES PBO 629QA BATON ROUGE SOUTH VA CLINIC, LA LA 708 16 OOS NPB 630 MANHATTAN VA MEDICAL CENTER, NY NY 100 2 VAMC PBH 630A4 BROOKLYN CAMPUS OF THE VA NY HARBOR HEALTH CARE SYSTEM, NY NY 112 2 VAMC PBH 630A5 SAINT ALBANS VA MEDICAL CENTER (CLC), NY NY 114 2 CLC PBH 630GA HARLEM VA CLINIC, NY NY 100 2 CBOC PBO 630GB STATEN ISLAND COMM VA CLINIC, NY NY 103 2 CBOC PBO 630QA NEW YORK HARBOR 1 VA MOBILE CLINIC, NY NY 114 2 OOS PBO 630QB NEW YORK HARBOR 2 VA MOBILE CLINIC, NY NY 114 2 OOS PBO 631 EDWARD P. BOLAND VAMC, MA MA 010 1 VAMC PBH 631BY SPRINGFIELD, MA (SOC) MA 011 1 CBOC PBO 631GC PITTSFIELD, MA MA 012 1 CBOC PBO 631GD GREENFIELD CBOC, MA MA 013 1 CBOC PBO 631GE WORCESTER, MA MA 016 1 CBOC PBO 631GF FITCHBURG, MA MA 014 1 CBOC PBO 631MA LEEDS, MA (DES) MA 010 1 DES PBO 631QA PLANTATION STREET VA CLINIC, MA MA 016 1 OOS PBO 631QB LAKE AVENUE VA CLINIC, MA MA 016 1 OOS NPB 632 NORTHPORT VA MEDICAL CENTER, NY NY 117 2 VAMC PBH 632GA EAST MEADOW VA CLINIC, NY NY 115 2 CBOC PBO 632HA VALLEY STREAM VA CLINIC, NY NY 115 2 CBOC PBO 632HB RIVERHEAD, NY NY 119 2 CBOC PBO 632HC BAY SHORE VA CLINIC, NY NY 117 2 CBOC PBO 632HD PATCHOGUE, NY NY 117 2 CBOC PBO 632QA NORTHPORT 1 VA MOBILE CLINIC, NY NY 117 2 OOS PBO 632QB NORTHPORT 2 VA MOBILE CLINIC, NY NY 117 2 OOS PBO 635 OKLAHOMA CITY VAMC, OK OK 731 19 VAMC PBH 635GA LAWTON/FORT SILL, OK OK 735 19 CBOC PBO 635GB WICHITA FALLS, TX TX 763 19 CBOC PBO 635GC BLACKWELL VA CLINIC, OK OK 746 19 CBOC PBO 635GD ADA VA CLINIC, OK OK 748 19 CBOC PBO 635GE STILLWATER VA CLINIC, OK OK 740 19 CBOC PBO 635GF ALTUS VA CLINIC, OK OK 735 19 CBOC PBO 635GG ENID VA CLINIC, OK OK 737 19 CBOC PBO 635HB ARDMORE, OK OK 734 19 CBOC PBO 635MA SHEPPARD AFB, TX (DES) TX 763 19 DES PBO 635MB TINKER AFB, OK (DES) OK 731 19 DES PBO 635MC VANCE AFB, OK (DES) OK 737 19 DES PBO 635MD FORT SILL, OK (DES) OK 735 19 DES PBO 635ME ALTUS AFB, OK (DES) OK 735 19 DES PBO 635QA NORTH MAY VA CLINIC, OK OK 731 19 OOS PBO 635QB SOUTH OKLAHOMA CITY VA CLINIC, OK OK 731 19 CBOC PBO 636 OMAHA VA MEDICAL CENTER, NE NE 681 23 VAMC PBH 6369AD DES MOINES VA CLC, IA IA 503 23 CLC PBH 636A4 GRAND ISLAND VA MEDICAL CENTER, NE NE 688 23 DOM/OPT PBH 636A5 LINCOLN VA CLINIC, NE NE 685 23 MSCBOC PBH 636A6 DES MOINES VA MEDICAL CENTER, IA IA 503 23 VAMC PBH 636A8 IOWA CITY VA MEDICAL CENTER, IA IA 522 23 VAMC PBH 636GA NORFOLK VA CLINIC, NE NE 687 23 CBOC PBO 636GB NORTH PLATTE VA CLINIC, NE NE 691 23 CBOC PBO

Page 13: Supplement Table 3 VA Medical Facility Locations, …Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of

Supplement Table 3 VA Medical Facility

Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/14/2017

RCV3p23 FacilityList 2017-12-14FR.xls Page 13 of 18

Sta # VA Facility Location ST ZIP 3 VN TYPE PB 636GC MASON CITY VA CLINIC, IA IA 504 23 CBOC PBO 636GD MARSHALLTOWN VA CLINIC, IA IA 501 23 CBOC PBO 636GF QUAD CITIES VA CLINIC, IA IA 527 23 CBOC PBO 636GG QUINCY VA CLINIC, IL IL 623 23 CBOC PBO 636GH WATERLOO VA CLINIC, IA IA 507 23 CBOC PBO 636GI LANE A. EVANS VA CBOC, IL IL 614 23 CBOC PBO 636GJ DUBUQUE VA CLINIC, IA IA 520 23 CBOC PBO 636GK FORT DODGE VA CLINIC, IA IA 505 23 CBOC PBO 636GL BELLEVUE VA CLINIC, NE NE 681 23 CBOC PBO 636GM CARROLL VA CLINIC, IA IA 514 23 CBOC PBO 636GN CEDAR RAPIDS VA CLINIC, IA IA 524 23 CBOC PBO 636GP SHENANDOAH VA CLINIC, IA IA 516 23 CBOC PBO 636GQ HOLDREGE VA CLINIC, NE NE 689 23 CBOC PBO 636GR KNOXVILLE VA CLINIC, IA IA 501 23 CBOC PBO 636GS OTTUMWA, IA IA 525 23 CBOC PBO 636GT STERLING VA CLINIC, IL IL 610 23 CBOC PBO 636GU DECORAH VA CLINIC, IA IA 521 23 CBOC PBO 636GV O'NEILL VA CLINIC, NE NE 687 23 CBOC NPB 636GW CORALVILLE VA CLINIC, IA IA 524 23 CBOC PBO 636GX FORT DODGE NORTH VA CLINIC, IA IA 505 23 OOS NPB 636PC OMAHA, NE (PRRTP) NE 681 23 DOM PBO 636QA OMAHA VA CLINIC, NE NE 681 23 OOS PBO 636QB DES MOINES VA CLINIC, IA IA 503 23 OOS PBO 636QC LINN COUNTY VA CLINIC, IA IA 524 23 OOS PBO 636QD MACOMB VA CLINIC, IL IL 614 23 OOS NPB 636QG IOWA CITY VA MOBILE CLINIC, IA IA 522 23 OOS PBO 636QH DES MOINES VA MOBILE CLINIC, IA IA 503 23 OOS PBO 636QI DAVENPORT VA CLINIC, IA IA 528 23 OOS NPB 637 CHARLES GEORGE VAMC, NC NC 288 6 VAMC PBH 637GA FRANKLIN VA CLINIC, NC NC 287 6 CBOC PBO 637GB RUTHERFORD COUNTY VA CLINIC, NC NC 281 6 CBOC PBO 637GC HICKORY VA CLINIC, NC NC 286 6 CBOC PBO 640 PALO ALTO VA MEDICAL CENTER, CA CA 943 21 VAMC PBH 640A0 MENLO PARK DIVISION OF PALO ALTO HEALTH CARE SYSTEM, CA CA 940 21 VAMC PBH 640A4 PALO ALTO VAMC-LIVERMORE, CA CA 945 21 VAMC PBH 640BU VA DOM MENLO PARK, CA CA 940 21 DOM PBO 640BV PALO ALTO VA DOMICILIARY, CA CA 943 21 DOM PBO 640BY SAN JOSE VA CLINIC, CA CA 951 21 CBOC PBO 640GA CAPITOLA VA CLINIC, CA CA 950 21 CBOC PBO 640GB SONORA VA CLINIC, CA CA 953 21 CBOC PBO 640GC FREMONT VA CLINIC, CA CA 945 21 CBOC PBO 640HA FRENCH CAMP, CA (STOCKTON) CA 952 21 CBOC PBO 640HB MODESTO VA CLINIC, CA CA 953 21 CBOC PBO 640HC MAJOR GEN. GOURLEY VA-DOD OPC, CA CA 939 21 CBOC PBO 640QA PALO ALTO 1 VA MOBILE CLINIC, CA CA 940 21 OOS PBO 640QB PALO ALTO 2 VA MOBILE CLINIC, CA CA 940 21 OOS PBO 642 CORPORAL M. J. CRESCENZ VAMC, PA PA 191 4 VAMC PBH 642BU VA DOM PHILADELPHIA, PA PA 191 4 DOM PBO 642GA BURLINGTON COUNTY VA CLINIC, NJ NJ 080 4 CBOC PBO 642GC VICTOR J. SARACINI VA OPC, PA PA 190 4 CBOC PBO 642GD GLOUCESTER COUNTY VA CLINIC, NJ NJ 080 4 CBOC PBO 642GF CAMDEN VA CLINIC,NJ NJ 081 4 CBOC PBO 642QA CHESTNUT STREET VA CLINIC, PA PA 191 4 OOS PBO 642QB FOURTH STREET VA CLINIC, PA PA 191 4 OOS PBO 644 CARL T. HAYDEN VAMC, AZ AZ 850 22 VAMC PBH 644BY SOUTHEAST VA CLINIC, AZ AZ 852 22 CBOC PBO 644GA SUN CITY, AZ AZ 853 22 CBOC PBO 644GB SHOW LOW VA CLINIC, AZ AZ 859 22 CBOC PBO 644GC SOUTHWEST VA CLINIC, AZ AZ 850 22 CBOC PBO 644GD PAYSON VA CLINIC, AZ AZ 855 22 CBOC PBO 644GE THUNDERBIRD VA CLINIC, AZ AZ 850 22 CBOC PBO 644GF GLOBE VA CLINIC, AZ AZ 855 22 CBOC PBO 644GG NORTHEAST PHOENIX VA CLINIC, AZ AZ 852 22 CBOC PBO 644GH PHOENIX MIDTOWN VA CLINIC, AZ AZ 850 22 CBOC PBO 644MA LUKE AFB, AZ (DES) AZ 853 22 DES PBO 644PB PHOENIX, AZ (SARRTP) AZ 850 22 DOM PBO 644QA PHOENIX VA CLINIC, AZ AZ 850 22 OOS PBO 644QB PHOENIX VA MOBILE CLINIC, AZ AZ 850 22 OOS PBO 646 PITTSBURGH VAMC UNIVERSITY DR., PA PA 152 4 VAMC PBH 646A4 H. JOHN HEINZ III VAMC, PA PA 152 4 VAMC PBH 646GA BELMONT COUNTY VA CLINIC, OH OH 439 4 CBOC PBO 646GB WESTMORELAND COUNTY VA CLINIC, PA PA 156 4 CBOC PBO 646GC BEAVER COUNTY VA CLINIC, PA PA 150 4 CBOC PBO 646GD WASHINGTON, PA PA 153 4 CBOC PBO 646GE FAYETTE COUNTY VA CLINIC, PA PA 154 4 CBOC PBO 646PA PITTSBURGH, PA (PRRTP) PA 152 4 DOM PBO 648 PORTLAND VA MEDICAL CENTER, OR OR 972 20 VAMC PBH 648A4 VANCOUVER, WA WA 986 20 VAMC PBH 648GA BEND, OR OR 977 20 CBOC PBO 648GB SALEM VA CLINIC, OR OR 973 20 CBOC PBO 648GD NORTH COAST VA CLINIC, OR OR 971 20 CBOC PBO

Page 14: Supplement Table 3 VA Medical Facility Locations, …Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of

Supplement Table 3 VA Medical Facility

Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/14/2017

RCV3p23 FacilityList 2017-12-14FR.xls Page 14 of 18

Sta # VA Facility Location ST ZIP 3 VN TYPE PB 648GE FAIRVIEW VA CLINIC, OR OR 970 20 CBOC PBO 648GF HILLSBORO VA CLINIC, OR OR 972 20 CBOC PBO 648GG WEST LINN VA CLINIC, OR OR 970 20 CBOC PBO 648GH NEWPORT VA CLINIC, OR OR 973 20 CBOC NPB 648GI PORTLAND VA CLINIC, OR OR 972 20 CBOC PBO 648GJ LOREN R. KAUFMAN VA CLINIC, OR OR 970 20 CBOC NPB 649 BOB STUMP VAMC, AZ AZ 863 22 VAMC PBH 649GA KINGMAN VA CLINIC, AZ AZ 864 22 CBOC PBO 649GB FLAGSTAFF VA CLINIC, AZ AZ 860 22 CBOC PBO 649GC LAKE HAVASU CITY VA CLINIC, AZ AZ 864 22 CBOC PBO 649GD ANTHEM VA CLINIC, AZ AZ 850 22 CBOC PBO 649GE COTTONWOOD VA CLINIC, AZ AZ 863 22 CBOC PBO 649QA CHINLE VA CLINIC, AZ AZ 865 22 OOS NPB 649QB HOLBROOK VA CLINIC, AZ AZ 860 22 OOS NPB 649QC CHINLE VA MOBILE CLINIC, AZ AZ 865 22 OOS NPB 649QD PAGE VA CLINIC, AZ AZ 860 22 OOS NPB 649QE PRESCOTT VA CLINIC, AZ AZ 863 22 OOS PBO 649QF TUBA CITY VA CLINIC, AZ AZ 860 22 OOS NPB 649QG POLACCA VA CLINIC, AZ AZ 860 22 OOS NPB 649QH KAYENTA VA CLINIC, AZ AZ 860 22 OOS NPB 650 PROVIDENCE VA MEDICAL CENTER, RI RI 029 1 VAMC PBH 650GA NEW BEDFORD, MA MA 027 1 CBOC PBO 650GB HYANNIS VA CLINIC, MA MA 026 1 CBOC PBO 650GD MIDDLETOWN VA CLINIC, RI RI 028 1 CBOC PBO 650MA PROVIDENCE, RI (DES) RI 029 1 DES PBO 650QA EAGLE SQUARE VA CLINIC, RI RI 029 1 OOS PBO 652 HUNTER HOLMES McGUIRE HOSPITAL, VA VA 232 6 VAMC PBH 652GA FREDERICKSBURG VA CLINIC, VA VA 224 6 CBOC PBO 652GB FREDERICKSBURG 2 VA CLINIC, VA VA 224 6 CBOC PBO 652GE CHARLOTTESVILLE VA CLINIC, VA VA 229 6 CBOC PBO 652GF EMPORIA VA CLINIC, VA VA 238 6 CBOC PBO 652GG RICHMOND VA MOBILE CLINIC, VA VA 232 6 MOC PBO 652GH HUNTER HOLMES MCGUIRE 2 MOB CL, VA VA 232 6 MOC PBO 652MA RICHMOND, VA (DES) VA 232 6 DES PBO 653 ROSEBURG VA MEDICAL CENTER, OR OR 974 20 VAMC PBH 653BY EUGENE VA CLINIC, OR OR 974 20 CBOC PBO 653GA NORTH BEND VA CLINIC, OR OR 974 20 CBOC PBO 653GB BROOKINGS VA CLINIC, OR OR 974 20 CBOC PBO 653QA DOWNTOWN EUGENE VA CLINIC, OR OR 974 20 OOS NPB 654 IOANNIS A. LOUGARIS VAMC, NV NV 895 21 VAMC PBH 6549AA VANC RENO, NV NV 895 21 CLC PBH 654GA SIERRA FOOTHILLS VA CLINIC, CA CA 956 21 CBOC PBO 654GB CARSON VALLEY VA CLINIC, NV NV 894 21 CBOC PBO 654GC LAHONTAN VALLEY VA CLINIC, NV NV 894 21 CBOC PBO 654GD DIAMOND VIEW VA CLINIC, CA CA 961 21 CBOC PBO 654GE RENO EAST VA CLINIC, NV NV 895 21 CBOC PBO 654QA KIETZKE VA CLINIC, NV NV 895 21 OOS PBO 654QB CAPITOL HILL VA CLINIC, NV NV 895 21 OOS PBO 654QC WINNEMUCCA VA CLINIC, NV NV 894 21 OOS NPB 654QD VIRGINIA STREET VA CLINIC, NV NV 895 21 OOS PBO 655 ALEDA E. LUTZ VAMC, MI MI 486 10 VAMC PBH 655GA GAYLORD, MI MI 497 10 CBOC PBO 655GB COLONEL DEMAS T. CRAW VA CLINIC, MI MI 496 10 MSCBOC PBO 655GC OSCODA VA CLINIC, MI MI 487 10 CBOC PBO 655GD LT. COL CLEMENT VAN WAGONER VA, MI MI 497 10 CBOC PBO 655GE CLARE VA CLINIC, MI MI 486 10 CBOC PBO 655GF BAD AXE VA CLINIC, MI MI 484 10 CBOC PBO 655GG CADILLAC VA CLINIC, MI MI 496 10 CBOC PBO 655GH CHEBOYGAN COUNTY VA CLINIC, MI MI 497 10 CBOC PBO 655GI GRAYLING VA CLINIC, MI MI 497 10 CBOC PBO 655QA SAGINAW VA CLINIC, MI MI 486 10 OOS PBO 655QB GRAND TRAVERSE VA CLINIC, MI MI 496 10 OOS PBO 656 ST. CLOUD VA MEDICAL CENTER, MN MN 563 23 VAMC PBH 656GA BRAINERD VA CLINIC, MN MN 564 23 CBOC PBO 656GB MONTEVIDEO VA CLINIC, MN MN 562 23 CBOC PBO 656GC MAX J. BEILKE VA OPC, MN MN 563 23 CBOC PBO 656QA ST. CLOUD VA MOBILE CLINIC, MN MN 563 23 OOS PBO 657 JOHN J. COCHRAN VAMC, MO MO 631 15 VAMC PBH 657A0 SAINT LOUIS, MO (JEFFERSON BARRACKS) MO 631 15 VAMC PBH 657A4 JOHN J. PERSHING VAMC, MO. MO 639 15 VAMC PBH 657A5 MARION VA MEDICAL CENTER, IL IL 629 15 VAMC PBH 657DP MARION, IL (NON-VA HOSPITALS) IL 629 15 CMC PBH 657DS ST. LOUIS, IL (NON-VA HOSPITALS) IL 631 15 CMC PBH 657GA BELLEVILLE VA CLINIC, IL IL 622 15 CBOC PBO 657GB ST. LOUIS COUNTY VA CLINIC, MO MO 631 15 CBOC PBO 657GD ST. CHARLES VA CLINIC, MO MO 633 15 CBOC PBO 657GF WEST PLAINS VA CLINIC, MO MO 657 15 CBOC PBO 657GG PARAGOULD VA CLINIC, AR AR 724 15 CBOC PBO 657GH CAPE GIRARDEAU VA CLINIC, MO MO 637 15 CBOC PBO 657GI FARMINGTON VA CLINIC, MO MO 636 15 CBOC PBO 657GJ EVANSVILLE VA CLINIC, IN IN 477 15 CBOC PBO

Page 15: Supplement Table 3 VA Medical Facility Locations, …Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of

Supplement Table 3 VA Medical Facility

Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/14/2017

RCV3p23 FacilityList 2017-12-14FR.xls Page 15 of 18

Sta # VA Facility Location ST ZIP 3 VN TYPE PB 657GK MOUNT VERNON, IL IL 628 15 CBOC PBO 657GL PADUCAH VA CLINIC, KY KY 420 15 CBOC PBO 657GM EFFINGHAM VA CLINIC, IL IL 624 15 CBOC PBO 657GN SALEM VA CLINIC, MO MO 655 15 CBOC PBO 657GO HANSON VA CLINIC, KY KY 424 15 CBOC PBO 657GP OWENSBORO VA CLINIC, KY KY 423 15 CBOC PBO 657GQ VINCENNES VA CLINIC, IN IN 475 15 CBOC PBO 657GR MAYFIELD VA CLINIC, KY KY 420 15 CBOC PBO 657GS WASHINGTON VA CLINIC, MO MO 630 15 CBOC PBO 657GT CARBONDALE, IL IL 629 15 CBOC PBO 657GU HARRISBURG VA CLINIC, IL IL 629 15 CBOC PBO 657GV SIKESTON VA CLINIC, MO MO 638 15 CBOC PBO 657GW POCAHONTAS VA CLINIC, AR AR 724 15 OOS NPB 657GX ST LOUIS VA CLINIC, MO MO 631 15 CBOC PBO 657GY MANCHESTER VA CLINIC, MO MO 631 15 CBOC PBO 657MA SCOTT AFB, IL (DES) IL 622 15 DES PBO 657PC MARION, IL (PRRTP) IL 629 15 PRRTP PBO 657PD ST LOUIS, MO (SARRTP) MO 631 15 SARRTP PBO 657QA OLIVE STREET VA CLINIC, MO MO 631 15 OOS PBO 657QB WASHINGTON BOULEVARD VA CLINIC, MO MO 631 15 OOS PBO 657QC ENTERPRISE WAY VA CLINIC, IL IL 629 15 OOS PBO 657QD HEARTLAND STREET VA CLINIC, IL IL 629 15 OOS PBO 657QE SCOTT AFB VA CLINIC, IL IL 622 15 OOS PBO 658 SALEM VA MEDICAL CENTER, VA VA 241 6 VAMC PBH 658GA TAZEWELL VA CLINIC, VA VA 246 6 OOS PBO 658GB DANVILLE VA CLINIC, VA VA 245 6 CBOC PBO 658GC LYNCHBURG VA CLINIC, VA VA 245 6 CBOC PBO 658GD STAUNTON, VA VA 244 6 CBOC PBO 658GE WYTHEVILLE VA CLINIC, VA VA 243 6 CBOC PBO 659 W.G. HEFNER SALISBURY VAMC, NC NC 281 6 VAMC PBH 659BY KERNERSVILLE VA CLINIC, NC NC 272 6 CBOC PBO 659BZ SOUTH CHARLOTTE VA CLINIC, NC NC 282 6 CBOC PBO 659GA NORTH CHARLOTTE VA CLINIC, NC NC 282 6 CBOC PBO 660 GEORGE E. WAHLEN VAMC, UT UT 841 19 VAMC PBH 660GA POCATELLO, ID ID 832 19 CBOC PBO 660GB OGDEN VA CLINIC, UT UT 844 19 CBOC PBO 660GC ELY VA CLINIC, NV NV 893 19 CBOC NPB 660GD ROOSEVELT VA CLINIC, UT UT 840 19 CBOC PBO 660GE OREM VA CLINIC, UT UT 840 19 CBOC PBO 660GG ST. GEORGE VA CLINIC, UT UT 847 19 CBOC PBO 660GJ WESTERN SALT LAKE VA CLINIC, UT UT 841 19 CBOC PBO 660GK ELKO VA CLINIC, NV NV 898 19 CBOC PBO 660MA HILL AFB, UT (DES) UT 840 19 DES PBO 660QA IDAHO FALLS VA CLINIC, ID ID 834 19 OOS NPB 660QB PRICE VA CLINIC, UT UT 845 19 OOS NPB 662 SAN FRANCISCO VAMC, CA CA 941 21 VAMC PBH 662GA SANTA ROSA, CA CA 954 21 CBOC PBO 662GC EUREKA VA CLINIC, CA CA 955 21 CBOC PBO 662GD UKIAH VA CLINIC, CA CA 954 21 CBOC PBO 662GE SAN BRUNO CBOC, CA CA 940 21 CBOC PBO 662GF SAN FRANCISCO VA CLINIC, CA CA 941 21 CBOC PBO 662GG CLEARLAKE VA CLINIC, CA CA 954 21 CBOC PBO 663 SEATTLE VA MEDICAL CENTER, WA WA 981 20 VAMC PBH 663A4 VA PUGET SOUND HEALTH CARE SYSTEM - AMERICAN LAKE DIV., WA WA 984 20 VAMC PBH 663GA VALOR CBOC NORTH SEATTLE, WA WA 981 20 CBOC PBO 663GB BREMERTON, WA WA 983 20 CBOC PBO 663GC MOUNT VERNON, WA WA 982 20 CBOC PBO 663GD SOUTH SOUND VA CLINIC, WA WA 985 20 CBOC PBO 663GE NORTH OLYMPIC PENINSULA VA CLINIC, WA WA 983 20 CBOC NPB 663HK PUGET SOUND VA MOBILE CLINIC, WA WA 981 20 MMU PBO 663JA PORT ANGELES, WA WA 983 20 CBOC NPB 663MA SEATTLE, WA (DES) (FORT LEWIS) WA 981 20 DES PBO 663MB SEATTLE, WA (DES) (MCCHORD AFB) WA 981 20 DES PBO 663MC SEATTLE, WA (DES) (BREMERTON NAV HOSP) WA 981 20 DES PBO 663MD SEATTLE, WA (DES) (FORT OAK HARBOR NAV HOSP) WA 981 20 DES PBO 664 SAN DIEGO VA MEDICAL CENTER, CA CA 921 22 VAMC PBH 6649AA SAN DIEGO NHC, CA CA 921 22 CLC PBH 664BV SAN DIEGO VA DOMICILIARY, CA CA 921 22 DOM PBO 664BY SAN DIEGO CBOC, CA CA 921 22 CBOC PBO 664GA IMPERIAL VALLEY VA CLINIC, CA CA 922 22 CBOC PBO 664GB OCEANSIDE VA CLINIC, CA CA 920 22 CBOC PBO 664GC CHULA VISTA VA CLINIC, CA CA 919 22 CBOC PBO 664GD ESCONDIDO VA CLINIC, CA CA 920 22 CBOC PBO 664MA SAN DIEGO, CA (DES) (BALBOA NAVAL HOSPITAL) CA 921 22 DES PBO 664MB SAN DIEGO, CA (DES) (CAMP PENDLETON) CA 921 22 DES PBO 664QA RIO VA CLINIC, CA CA 921 22 OOS PBO 666 SHERIDAN VA MEDICAL CENTER, WY WY 828 19 VAMC PBH 666GB CASPER, WY WY 826 19 CBOC PBO 666GC RIVERTON VA CLINIC, WY WY 825 19 CBOC PBO 666GD POWELL VA CLINIC, WY WY 824 19 CBOC PBO 666GE GILLETTE VA CLINIC, WY WY 827 19 CBOC PBO

Page 16: Supplement Table 3 VA Medical Facility Locations, …Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of

Supplement Table 3 VA Medical Facility

Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/14/2017

RCV3p23 FacilityList 2017-12-14FR.xls Page 16 of 18

Sta # VA Facility Location ST ZIP 3 VN TYPE PB 666GF ROCK SPRINGS CBOC, WY WY 829 19 CBOC PBO 666QA AFTON VA CLINIC, WY WY 831 19 OOS NPB 666QB EVANSTON VA CLINIC, WY WY 829 19 OOS NPB 666QC WORLAND VA CLINIC, WY WY 824 19 OOS NPB 667 OVERTON BROOKS VAMC, LA LA 711 16 VAMC PBH 667GA TEXARKANA VA CLINIC, AR AR 718 16 CBOC PBO 667GB MONROE VA CLINIC, LA LA 712 16 CBOC PBO 667GC LONGVIEW VA CLINIC, TX TX 756 16 CBOC PBO 667MA SHREVEPORT, LA (DES) LA 711 16 DES PBO 667QA KNIGHT STREET VA CLINIC, LA LA 711 16 OOS PBO 668 MANN-GRAND STAFF VAMC, WA WA 992 20 VAMC PBH 668GA WENATCHEE VA CLINIC, WA WA 988 20 CBOC PBO 668GB COEUR D'ALENE VA CLINIC, ID ID 838 20 CBOC PBO 668HK SPOKANE, WA (MOC) WA 992 20 MOC PBO 668MA SPOKANE, WA (DES) WA 992 20 DES PBO 668QB LIBBY VA CLINIC, MT MT 599 20 OOS NPB 668QD SANDPOINT VA CLINIC, ID ID 838 20 OOS NPB 668QE SPOKANE VA CLINIC, WA WA 992 20 OOS PBO 668QF TONASKET VA CLINIC, WA WA 988 20 OOS NPB 671 AUDIE L. MURPHY MEM VET HOSP, TX TX 782 17 VAMC PBH 671A4 KERRVILLE VA MEDICAL CENTER, TX TX 780 17 VAMC PBH 671BY FRANK M. TEJEDA VA OPC, TX TX 782 17 CBOC PBO 671GB VICTORIA VA CLINIC, TX TX 779 17 CBOC PBO 671GC DEL RIO VA CLINIC, TX TX 788 17 CBOC PBO 671GF SOUTH BEXAR COUNTY VA CLINIC, TX TX 782 17 CBOC PBO 671GH BEEVILLE VA CLINIC, TX TX 781 17 CBOC PBO 671GJ UVALDE VA CLINIC, TX TX 788 17 CBOC NPB 671GK SAN ANTONIO VA CLINIC, TX TX 782 17 CBOC PBO 671GL NEW BRAUNFELS VA CLINIC, TX TX 781 17 CBOC PBO 671GN SEGUIN VA CLINIC, TX TX 781 17 CBOC PBO 671GO NORTH CENTRAL FEDERAL VA CLIN, TX TX 782 17 CBOC PBO 671GP BALCONES HEIGHTS VA CLINIC, TX TX 782 17 CBOC PBO 671GQ SHAVANO PARK VA CLINIC, TX TX 782 17 CBOC PBO 671MA FT SAM HOUSTON, TX (DES) (ARMY MED CNTR) TX 782 17 DES PBO 671MB FT SAM HOUSTON, TX (DES) (59TH MED WING) TX 782 17 DES PBO 671QA SOUTH TEXAS VA MOBILE CLINIC, TX TX 780 17 OOS NPB 671QB DATA POINT VA CLINIC, TX TX 782 17 OOS PBO 672 SAN JUAN VA MEDICAL CENTER, PR PR 009 8 VAMC PBH 672B0 PONCE, PR PR 007 8 CBOC PBO 672BZ MAYAGUEZ, PR PR 006 8 CBOC PBO 672GA SAINT CROIX, VI VI 008 8 CBOC PBO 672GB SAINT THOMAS, VI VI 008 8 CBOC PBO 672GC ARECIBO, PR PR 006 8 CBOC PBO 672GD CEIBA VA CLINIC, PR PR 007 8 CBOC PBO 672GE GUAYAMA VA CLINIC, PR PR 007 8 CBOC PBO 672QA COMERIO VA CLINIC, PR PR 007 8 OOS PBO 672QB UTUADO VA CLINIC, PR PR 006 8 OOS NPB 672QC VIEQUES VA CLINIC, PR PR 007 8 OOS NPB 673 JAMES A. HALEY VETERANS HOSP, FL FL 336 8 VAMC PBH 673BV TAMPA VA DOMICILIARY, FL FL 336 8 DOM PBO 673BZ NEW PORT RICHEY, FL FL 346 8 CBOC PBO 673GB LAKELAND VA CLINIC, FL FL 338 8 CBOC PBO 673GC BROOKSVILLE, FL FL 346 8 CBOC PBO 673GF ZEPHYRHILLS VA CLINIC, FL FL 335 8 CBOC PBO 673QA 46th STREET NORTH VA CLINIC, FL FL 336 8 OOS PBO 673QB 46th STREET SOUTH VA CLINIC, FL FL 336 8 OOS PBO 673QC WEST LAKELAND VA CLINIC, FL FL 338 8 OOS PBO 673QD DEER PARK VA CLINIC, FL FL 346 8 OOS PBO 673QE HIGHWAY NINETEEN VA CLINIC, FL FL 346 8 OOS PBO 673QF WINNERS CIRCLE VA CLINIC, FL FL 336 8 OOS PBO 673QG LITTLE ROAD VA CLINIC, FL FL 346 8 OOS PBO 673QH BRUCE B. DOWNS BOULEVARD VA CLINIC, FL FL 336 8 OOS PBO 673QI MEDICAL VIEW LANE VA CLINIC, FL FL 335 8 OOS PBO 673QJ HIDDEN RIVER VA CLINIC, FL FL 336 8 OOS PBO 673QK TAMPA 1 VA MOBILE CLINIC, FL FL 336 8 OOS PBO 673QL TAMPA 2 VA MOBILE CLINIC, FL FL 336 8 OOS PBO 674 OLIN E. TEAGUE VET CENTER, TX TX 765 17 VAMC PBH 674A4 DORIS MILLER VAMC, TX TX 767 17 VAMC PBH 674BY AUSTIN VA CLINIC, TX TX 787 17 CBOC PBO 674GA PALESTINE VA CLINIC, TX TX 758 17 CBOC PBO 674GB BROWNWOOD VA CLINIC, TX TX 768 17 CBOC PBO 674GC BRYAN VA CLINIC, TX TX 778 17 CBOC PBO 674GD CEDAR PARK VA CLINIC, TX TX 786 17 CBOC PBO 674GE MARLIN CBOC, TX TX 766 17 CBOC PBO 674GF TEMPLE VA CLINIC, TX TX 765 17 CBOC PBO 674HB LA GRANGE VA CLINIC, TX TX 789 17 CBOC PBO 674MA FT HOOD, TX (DES) TX 765 17 DES PBO 675 ORLANDO VA MEDICAL CENTER, FL FL 328 8 VAMC PBH 675BU ORLANDO, FL (DOMICILIARY) FL 328 8 DOM PBO 675BV LAKE BALDWIN DOMICILIARY, FL FL 328 8 DOM PBO 675GA VIERA VA CLINIC, FL FL 329 8 CBOC PBO

Page 17: Supplement Table 3 VA Medical Facility Locations, …Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of

Supplement Table 3 VA Medical Facility

Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/14/2017

RCV3p23 FacilityList 2017-12-14FR.xls Page 17 of 18

Sta # VA Facility Location ST ZIP 3 VN TYPE PB 675GB WILLIAM V. CHAPPELL, JR. VOC, FL FL 321 8 CBOC NPB 675GC KISSIMMEE VA CLINIC, FL FL 347 8 CBOC PBO 675GD ORANGE CITY VA CLINIC, FL FL 327 8 CBOC PBO 675GE TAVARES VA CLINIC, FL FL 327 8 CBOC PBO 675GF CLERMONT, FL FL 347 8 CBOC PBO 675GG LAKE BALDWIN VA CLINIC, FL FL 328 8 HCC PBO 675MA ORLANDO, FL (DES) FL 328 8 DES PBO 675QB PORT ORANGE VA CLINIC, FL FL 321 8 OOS NPB 675QC WESTSIDE PAVILION VA CLINIC, FL FL 321 8 OOS NPB 675QD CROSSROADS VA CLINIC, FL FL 327 8 OOS PBO 675QE ORLANDO VA MOBILE CLINIC, FL FL 328 8 OOS PBO 675QF ORLANDO 2 VA MOBILE CLINIC, FL FL 328 8 OOS PBO 676 TOMAH VA MEDICAL CENTER, WI WI 546 12 VAMC PBH 676GA WAUSAU VA CLINIC, WI WI 544 12 CBOC PBO 676GC RIVER VALLEY VA CLINIC, WI WI 546 12 CBOC PBO 676GD WISCONSIN RAPIDS VA CLINIC, WI WI 544 12 CBOC PBO 676GE CLARK COUNTY VA CLINIC, WI WI 544 12 CBOC PBO 676QA TOMAH VA MOBILE CLINIC, WI WI 546 12 OOS PBO 678 TUCSON VA MEDICAL CENTER, AZ AZ 857 22 VAMC PBH 678GA SIERRA VISTA VA CLINIC, AZ AZ 856 22 CBOC PBO 678GB YUMA VA CLINIC, AZ AZ 853 22 CBOC PBO 678GC CASA GRANDE, AZ AZ 852 22 CBOC PBO 678GD SAFFORD VA CLINIC, AZ AZ 855 22 CBOC PBO 678GE GREEN VALLEY VA CLINIC, AZ AZ 856 22 CBOC PBO 678GF NORTHWEST TUCSON VA CLINIC, AZ AZ 857 22 CBOC PBO 678GG SOUTHEAST TUCSON VA CLINIC, AZ AZ 857 22 CBOC PBO 678MA TUCSON, AZ (DES) (DAVIS-MONTHAN) AZ 857 22 DES PBO 678MB TUCSON, AZ (DES) (FORT HUACHUCA) AZ 856 22 DES PBO 678QA COCHISE COUNTY VA CLINIC, AZ AZ 856 22 OOS NPB 678QB PINAL COUNTY VA CLINIC, AZ AZ 851 22 OOS NPB 679 TUSCALOOSA VA MEDICAL CENTER, AL AL 354 7 VAMC PBH 679GA SELMA VA CLINIC, AL AL 367 7 CBOC NPB 679HK TUSCALOOSA VA MOBILE CLINIC , AL AL 354 7 MOC PBO 679MA TUSCALOOSA, AL (DES) AL 354 7 DES PBO 679PA TUSCALOOSA, AL (PRRTP) AL 354 7 DOM PBO 687 JONATHAN M. WAINWRIGHT VAMC, WA WA 993 20 VAMC PBH 687GA RICHLAND VA CLINIC, WA WA 993 20 CBOC PBO 687GB LEWISTON VA CLINIC, ID ID 835 20 CBOC PBO 687GC LA GRANDE, OR OR 978 20 CBOC PBO 687HA YAKIMA, WA WA 989 20 CBOC PBO 687QA GRANGEVILLE VA CLINIC, ID ID 838 20 OOS NPB 687QB MORROW COUNTY VA CLINIC, OR OR 978 20 OOS NPB 687QC WALLOWA COUNTY VA CLINIC, OR OR 978 20 OOS NPB 688 WASHINGTON VA MEDICAL CENTER, DC DC 204 5 VAMC PBH 688GA FORT BELVOIR VA CLINIC, VA VA 223 5 CBOC PBO 688GB SOUTHEAST WASHINGTON VA CLINIC, DC DC 200 5 CBOC PBO 688GD CHARLOTTE HALL VA CLINIC, MD MD 206 5 CBOC PBO 688GE S PRINCE GEORGES CITY VA CLINIC, MD MD 207 5 CBOC PBO 688MA JOINT BASE ANDREWS, MD (DES) MD 207 5 DES PBO 688MB WASHINGTON, DC (DES) (WRAMC) DC 203 5 DES PBO 688MC BETHESDA, MD (DES) MD 208 5 DES PBO 688MD FT BELVOIR, VA (DES) VA 220 5 DES PBO 688ME QUANTICO, VA (DES) VA 221 5 DES PBO 688MF WASHINGTON, DC (DES) (BOLLING AFB) DC 200 5 DES PBO 688MG PATUXENT RIVER, MD (DES) MD 206 5 DES PBO 688QA FRANKLIN STREET VA CLINIC, DC DC 200 5 OOS PBO 689 WEST HAVEN VA MEDICAL CENTER, CT CT 065 1 VAMC PBH 689A4 NEWINGTON VA MEDICAL CENTER, CT CT 061 1 VAMC PBH 689GA WATERBURY VA CLINIC, CT CT 067 1 CBOC PBO 689GB STAMFORD VA CLINIC, CT CT 069 1 CBOC PBO 689GC WILLIMANTIC VA CLINIC, CT CT 062 1 CBOC PBO 689GD WINSTED VA CLINIC, CT CT 060 1 CBOC PBO 689GE DANBURY VA CLINIC, CT CT 068 1 CBOC PBO 689HC NEW LONDON, CT CT 063 1 CBOC PBO 689MA WEST HAVEN, CT (DES) CT 065 1 DES PBO 689QA ERRERA VA CLINIC, CT CT 065 1 OOS PBO 691 WEST LOS ANGELES VAMC, CA CA 900 22 VAMC PBH 6919AB VANURS SEPULVEDA, CA CA 913 22 CLC PBH 691A4 SEPULVEDA VA MEDICAL CENTER, CA (CLC) CA 913 22 CLC PBH 691GB SANTA BARBARA VA CLINIC, CA CA 931 22 CBOC PBO 691GC GARDENA VA CLINIC, CA CA 902 22 CBOC PBO 691GD BAKERSFIELD VA CLINIC, CA CA 933 22 CBOC PBO 691GE LOS ANGELES VA CLINIC, CA CA 900 22 CBOC PBO 691GF EAST LOS ANGELES VA CLINIC, CA CA 900 22 CBOC PBO 691GG ANTELOPE VALLEY VA CLINIC, CA CA 935 22 CBOC PBO 691GK SAN LUIS OBISPO, CA CA 934 22 CBOC PBO 691GL SANTA MARIA VA CLINIC, CA CA 934 22 CBOC PBO 691GM OXNARD VA CLINIC, CA (PORT HUENEME) CA 930 22 CBOC PBO 691MA LOS ANGELES, CA (DES) (VANDENBERG AFB) CA 900 22 DES PBO 691MB LOS ANGELES, CA (DES) (EDWARDS AFB) CA 900 22 DES PBO 691MC LOS ANGELES, CA (DES) (LOS ANGELES AFB) CA 900 22 DES PBO

Page 18: Supplement Table 3 VA Medical Facility Locations, …Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of

Supplement Table 3 VA Medical Facility

Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/14/2017

RCV3p23 FacilityList 2017-12-14FR.xls Page 18 of 18

Sta # VA Facility Location ST ZIP 3 VN TYPE PB 692 WHITE CITY VA MEDICAL CENTER, OR OR 975 20 VAMC PBH 692GA KLAMATH FALLS VA CLINIC, OR OR 976 20 CBOC PBO 692GB GRANTS PASS VA CLINIC, OR OR 975 20 CBOC PBO 693 WILKES-BARRE VA MEDICAL CENTER, PA PA 187 4 VAMC PBH 693B4 ALLENTOWN, PA PA 181 4 CBOC PBO 693GA SAYRE, PA PA 188 4 CBOC PBO 693GB WILLIAMSPORT VA CLINIC, PA PA 177 4 CBOC PBO 693GC TOBYHANNA VA CLINIC, PA PA 184 4 CBOC PBO 693GD SCRANTON, PA PA 185 4 CBOC PBO 693GF COLUMBIA COUNTY VA CLINIC, PA PA 186 4 CBOC PBO 693GG NORTHAMPTON COUNTY CBOC, PA PA 180 4 CBOC PBO 693QA WAYNE COUNTY VA CLINIC, PA PA 184 4 OOS NPB 695 CLEMENT J. ZABLOCKI VAMC, WI WI 532 12 VAMC PBH 695BY APPLETON, WI WI 549 12 CBOC PBO 695GA UNION GROVE CBOC, WI WI 531 12 CBOC PBO 695GC CLEVELAND, WI WI 530 12 CBOC PBO 695GD MILO C. HUEMPFNER VA OPC, WI WI 543 12 CBOC NPB 695QA MILWAUKEE VA CLINIC, WI WI 532 12 OOS PBO 740 HARLINGEN VA CLINIC, TX TX 785 17 HCC PBH 740GA HARLINGEN CBOC, TX TX 785 17 CBOC PBO 740GB MCALLEN CBOC, TX TX 785 17 CBOC PBO 740GC CORPUS CHRISTI CBOC, TX TX 784 17 CBOC NPB 740GD LAREDO CBOC, TX TX 780 17 CBOC NPB 740GH SOUTH ENTERPRIZE VA CLINIC, TX TX 784 17 MSCBOC NPB 740GI OLD BROWNSVILLE VA CLINIC, TX TX 784 17 CBOC NPB 740GJ NORTH TENTH STREET VA CLINIC, TX TX 785 17 CBOC PBO 740MA CORPUS CHRISTI, TX (DES) TX 784 17 DES PBO 740QA TX VALLEY COASTAL BEND MOB CLN, TX TX 785 17 OOS PBO 756 EL PASO VA CLINIC, TX TX 799 17 HCC PBH 756GA LAS CRUCES, NM NM 880 17 CBOC PBO 756GB EL PASO EASTSIDE VA CLINIC, TX TX 799 17 CBOC PBO 756MA EL PASO, TX (DES) (FT BLISS) TX 799 17 DES PBO 756MB EL PASO, TX (DES) (HOLLOMAN AFB) TX 799 17 DES PBO 757 CHALMERS P. WYLIE VETERANS OC, OH OH 432 10 HCC PBH 757GA ZANESVILLE VA CLINIC, OH OH 437 10 CBOC PBO 757GB GROVE CITY VA CLINIC, OH OH 431 10 CBOC PBO 757GC MARION VA CLINIC, OH OH 433 10 CBOC PBO 757GD NEWARK VA CLINIC, OH OH 430 10 CBOC PBO 757QA COLUMBUS 1 VA MOBILE CLINIC, OH OH 432 10 OOS PBO 757QB NORTH JAMES RD 2 VA MOBILE CLN, OH OH 432 10 OOS PBO 757QC COLUMBUS VA CLINIC, OH OH 432 10 OOS PBO

Abbreviations CBOC = Community-Based Outpatient Clinic MSCBOC = Multi-Specialty Community Based Outpatient Clinic CLC = Community Living Center CMC = Civilian Medical Center DES= Disability Evaluation Service Clinic MMU = Mobile Medical Unit DOM = Independent Domiciliary Fac # = VA Facility Number HCC= Health Care Center IOC = Independent Outpatient Clinic MHRRTP = Mental Health Residential Rehab Treatment Program MOC = Mobile Outreach Clinic NPB = Non-Provider-Based Outpatient Facility OOS = Other Outpatient Services Facility PB = Provider-Based/Non-Provider-Based Designation PBH = Provider-Based Hospital PBO = Provider-Based Outpatient Facility PRRTP = Psychosocial Residential Rehab Treatment Program RCS = Residential Care Site SNF = Skilled Nursing Facility SRRTP = Substance Residential Rehab Treatment Program ST = State VAMC = VA Medical Center VN = Veterans Integrated Service Network ZIP 3 = First three digits of ZIP Code


2008 Cervical Cancer Screening Supplement Visit File Data ... · 2010 Cervical Cancer Screening Supplement Visit File Data Dictionary Last update 6/6/2014 7 of 22 PROVIDE Provider

2008 Cervical Cancer Screening Supplement Visit File Data ... · 2010 Cervical Cancer Screening Supplement Visit File Data Dictionary Last update 6/6/2014 7 of 22 PROVIDE Provider

Documents
ODP Announcement - Amazon Simple Storage Service · Providers should review their current service locations, provider types, and specialties in PROMISe™ and in the Provider Access

ODP Announcement - Amazon Simple Storage Service · Providers should review their current service locations, provider types, and specialties in PROMISe™ and in the Provider Access

Documents
Provider Handbook Supplement for Texas Medicaid … · Provider Handbook Supplement for Texas Medicaid (STAR, ... The Provider Handbook Supplement for Texas Medicaid and ... seven

Provider Handbook Supplement for Texas Medicaid … · Provider Handbook Supplement for Texas Medicaid (STAR, ... The Provider Handbook Supplement for Texas Medicaid and ... seven

Documents
Mercy Maricopa Provider Web Portal Instructions providers...various locations for Banner ... Mercy General Hospital ... Aetna Better Health of Missouri Provider Web Portal Instructions

Mercy Maricopa Provider Web Portal Instructions providers...various locations for Banner ... Mercy General Hospital ... Aetna Better Health of Missouri Provider Web Portal Instructions

Documents
Virginia BHSA Provider Handbook Supplement

Virginia BHSA Provider Handbook Supplement

Documents
Dental Provider Supplement - Providers - Keystone First ... · Dental Provider Supplement to the . Keystone First Community ... Keystone First CHC takes advantage of technology tools

Dental Provider Supplement - Providers - Keystone First ... · Dental Provider Supplement to the . Keystone First Community ... Keystone First CHC takes advantage of technology tools

Documents
2011/09/15 Areva EPR DC - DRAFT Response to U.S. EPR ... · Supplement 1, Supplement 2, Supplement 3, Supplement 4, Supplement 5, Supplement 6, Supplement 7, Supplement 8, Supplement

2011/09/15 Areva EPR DC - DRAFT Response to U.S. EPR ... · Supplement 1, Supplement 2, Supplement 3, Supplement 4, Supplement 5, Supplement 6, Supplement 7, Supplement 8, Supplement

Documents
Featu res in Your EMR · To use eFax, ensure you have accurate fax numbers setup for providers and locations in your local provider and location registry (provider/location database)

Featu res in Your EMR · To use eFax, ensure you have accurate fax numbers setup for providers and locations in your local provider and location registry (provider/location database)

Documents
Supplementary Material Notes - ESL TeenStuff Material Notes LEVEL: Elementary (A1-A2) UNIT 2 LESSON: 2D Words, Things and Locations Supplement title Type of supplement Where to use

Supplementary Material Notes - ESL TeenStuff Material Notes LEVEL: Elementary (A1-A2) UNIT 2 LESSON: 2D Words, Things and Locations Supplement title Type of supplement Where to use

Documents
Introduction to Developing a Free-Range Poultry …extension.umd.edu/sites/extension.umd.edu/files/_docs/locations... · 1 A Supplement to the PowerPoint Program: Introduction to

Introduction to Developing a Free-Range Poultry …extension.umd.edu/sites/extension.umd.edu/files/_docs/locations... · 1 A Supplement to the PowerPoint Program: Introduction to

Documents
California Provider Handbook Supplement · applied behavior analysis (ABA), transcranial magnetic stimulation (TMS), psychological testing, neuro-psychological testing, and biofeedback,

California Provider Handbook Supplement · applied behavior analysis (ABA), transcranial magnetic stimulation (TMS), psychological testing, neuro-psychological testing, and biofeedback,

Documents
Provider Handbook Supplement for Blue Shield of … · Blue Shield of California Provider Handbook Supplement 3—©2016 - 2017 Magellan Health, Inc. 11/17 This document is the proprietary

Provider Handbook Supplement for Blue Shield of … · Blue Shield of California Provider Handbook Supplement 3—©2016 - 2017 Magellan Health, Inc. 11/17 This document is the proprietary

Documents
Provider Manual - Colorado · This self-paced training is intended to help you during the Colorado Medicaid Provider Enrollment process. This manual will serve to supplement that

Provider Manual - Colorado · This self-paced training is intended to help you during the Colorado Medicaid Provider Enrollment process. This manual will serve to supplement that

Documents
Blue Cross Medicare Advantage (PPO) · Blue Cross Medicare Advantage (PPO) Supplement to the BlueChoice® Physician, Professional Provider, Facility and Ancillary Provider Manual

Blue Cross Medicare Advantage (PPO) · Blue Cross Medicare Advantage (PPO) Supplement to the BlueChoice® Physician, Professional Provider, Facility and Ancillary Provider Manual

Documents
Provider Directory - 2018psbqi.dmh.lacounty.gov/ProviderDirectory/SA5.pdfProvider Directory - 2018 Locations of Publicly Funded Mental Health Services in the County of Los Angeles

Provider Directory - 2018psbqi.dmh.lacounty.gov/ProviderDirectory/SA5.pdfProvider Directory - 2018 Locations of Publicly Funded Mental Health Services in the County of Los Angeles

Documents
229 DocManager 03 D MU - Apple Inc. · PDF fileNew Files App Cloud Storage—File provider File provider extension for external cloud storage Accessible from the Locations view File

229 DocManager 03 D MU - Apple Inc. · PDF fileNew Files App Cloud Storage—File provider File provider extension for external cloud storage Accessible from the Locations view File

Documents
Long-Term Services and Supports Participating Provider ... · This directory is a supplement to the HMSA QUEST Integration Participating Provider Directory.It lists providers who’ll

Long-Term Services and Supports Participating Provider ... · This directory is a supplement to the HMSA QUEST Integration Participating Provider Directory.It lists providers who’ll

Documents
4-18, Sakae 2-chome, Naka-ku, Nagoya, Japan ... · 4 locations 2 locations 1 location 17 33 locations locations 1 location 4 locations 4 locations 1 location 8 locations 5 locations

4-18, Sakae 2-chome, Naka-ku, Nagoya, Japan ... · 4 locations 2 locations 1 location 17 33 locations locations 1 location 4 locations 4 locations 1 location 8 locations 5 locations

Documents
AAP Supplement in the Philippine Daily Inquirer supplement in PDI (Dec 2010).pdf · During the Krus na Ligas presentation, DOTC ... and intelligently review their locations to maximize

AAP Supplement in the Philippine Daily Inquirer supplement in PDI (Dec 2010).pdf · During the Krus na Ligas presentation, DOTC ... and intelligently review their locations to maximize

Documents
Astronomy Insights A Digital Supplement to Astronomy ... · PDF file 1 Astronomy Insights America’s Dark-Sky Locations How to Choose an Observing Site A Digital Supplement to Astronomy

Astronomy Insights A Digital Supplement to Astronomy ... · PDF file 1 Astronomy Insights America’s Dark-Sky Locations How to Choose an Observing Site A Digital Supplement to Astronomy

Documents
Dental Provider Supplement 2018 - amerihealthcaritaspa.com › pdf › provider › ... · Technology Tools 6 Feedback 6 Provider Web Portal Registration & Introduction 7 ... contained

Dental Provider Supplement 2018 - amerihealthcaritaspa.com › pdf › provider › ... · Technology Tools 6 Feedback 6 Provider Web Portal Registration & Introduction 7 ... contained

Documents
PROVIDER MANUAL...submission, authorization status, and authorization submission. ... new billing or service locations addresses, TIN changes, adding a provider to a group ... Maintaining

PROVIDER MANUAL...submission, authorization status, and authorization submission. ... new billing or service locations addresses, TIN changes, adding a provider to a group ... Maintaining

Documents
Organization & Facility Handbook Supplement · Organizational and Facility Provider Handbook Supplement 6—© 2004-2018 Magellan Health, Inc. 11/17 supplemental information from

Organization & Facility Handbook Supplement · Organizational and Facility Provider Handbook Supplement 6—© 2004-2018 Magellan Health, Inc. 11/17 supplemental information from

Documents
Dental Provider Supplement | AmeriHealth Caritas District ... · AmeriHealth Caritas District of Columbia Provider Manual. Dental Provider Supplement . Revised: April 2020 . ... Provider

Dental Provider Supplement | AmeriHealth Caritas District ... · AmeriHealth Caritas District of Columbia Provider Manual. Dental Provider Supplement . Revised: April 2020 . ... Provider

Documents
Provider Directory - 2018 - Los Angeles County, Californiapsbqi.dmh.lacounty.gov/ProviderDirectory/SA6.pdf ·  · 2018-03-30Provider Directory - 2018 Locations of Publicly Funded

Provider Directory - 2018 - Los Angeles County, Californiapsbqi.dmh.lacounty.gov/ProviderDirectory/SA6.pdf ·  · 2018-03-30Provider Directory - 2018 Locations of Publicly Funded

Documents
Peer Services Supplement Supplementdbhds.virginia.gov/.../provider-manual-supplement.pdfManual Title Peer Services Supplement Chapter Supplement Page 6 Chapter Subject Peer Support

Peer Services Supplement Supplementdbhds.virginia.gov/.../provider-manual-supplement.pdfManual Title Peer Services Supplement Chapter Supplement Page 6 Chapter Subject Peer Support

Documents
What are the locations KAPSYSTEM (Bulk SMS Service Provider Company in Indi

What are the locations KAPSYSTEM (Bulk SMS Service Provider Company in Indi

Documents
EXHIBIT Medicare supplement insurance Starting as low as $113.67* for a Plan F With Sanford Nlcdicarc Supplement you get afiordablc premiums, local service and access to any provider

EXHIBIT Medicare supplement insurance Starting as low as $113.67* for a Plan F With Sanford Nlcdicarc Supplement you get afiordablc premiums, local service and access to any provider

Documents
OB/GYN Locations Express Care, Walk-In Clinic Hospitals · please contact Member Care Services at 1.855.345.7422. Or visit your provider directory Primary Care & OB/GYN Locations

OB/GYN Locations Express Care, Walk-In Clinic Hospitals · please contact Member Care Services at 1.855.345.7422. Or visit your provider directory Primary Care & OB/GYN Locations

Documents
Operational Risks - USALearning€¦ · Operational Risks . 20. Operational Risks. Human resources Physical security Data storage locations Regulatory compliance Cloud provider outsourcing

Operational Risks - USALearning€¦ · Operational Risks . 20. Operational Risks. Human resources Physical security Data storage locations Regulatory compliance Cloud provider outsourcing

Documents