Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/13/2019 RCV3p27 FacilityList 2019-12-13FR.xls Page 1 of 19 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 MSCBOC PBO 402GF LINCOLN VA CLINIC, ME ME 044 1 CBOC PBO 402HB BANGOR, ME ME 044 1 MSCBOC PBO 402HC PORTLAND, ME (MHORC) ME 041 1 CBOC PBO 402HL BINGHAM VA MOBILE CLINIC, ME ME 049 1 OOS 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 MSCBOC NPB 405HC LITTLETON VA CLINIC, 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 405QB NEWPORT VA CLINIC, VT VT 058 1 CBOC NPB 436 FORT HARRISON MEDICAL CENTER, MT MT 596 19 VAMC PBH 436A4 MILES CITY VA COMMUNITY LIVING CENTER, MT MT 593 19 SACLC PBH 436GA ANACONDA, MT MT 597 19 CBOC PBO 436GB GREAT FALLS, MT MT 594 19 CBOC PBO 436GC DAVID J. THATCHER VA CLINIC, MT MT 598 19 MSCBOC PBO 436GD BOZEMAN VA CLINIC, MT MT 597 19 CBOC PBO 436GF KALISPELL VA CLINIC, MT MT 599 19 CBOC PBO 436GH BENJAMIN C. STEELE VA CLINIC, MT MT 591 19 HCC PBO 436GI GLASGOW VA CLINIC, MT MT 592 19 OOS PBO 436GK GLENDIVE VA CLINIC, MT MT 593 19 CBOC NPB 436GL CUT BANK VA CLINIC, MT MT 594 19 OOS PBO 436GM LEWISTOWN VA CLINIC, MT MT 594 19 OOS PBO 436GN DR. J MEDICINE CROW VA CLINIC, MT MT 591 19 MSCBOC NPB 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 OOS 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 OOS NPB 437GL DEVILS LAKE VA CLINIC, ND ND 583 23 OOS 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, IA IA 513 23 CBOC PBO 438GC SIOUX CITY VA CLINIC, SD SD 570 23 CBOC PBO 438GD ABERDEEN VA CLINIC, SD SD 574 23 MSCBOC PBO 438GE WAGNER VA CLINIC, SD SD 573 23 OOS 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 OOS PBO 442GC FORT COLLINS VA CLINIC, CO CO 805 19 MSCBOC PBO 442GD LOVELAND VA CLINIC, CO CO 805 19 MSCBOC PBO 442HK WHEATLAND VA MOBILE CLINIC, WY WY 820 19 CBOC 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 442QD LARAMIE VA MOBILE CLINIC, WY WY 820 19 OOS NPB 442QE STERLING VA CLINIC, CO CO 807 19 OOS NPB 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 MSCBOC PBO 459GG LEEWARD OAHU VA CLINIC, HI HI 967 21 CBOC PBO Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/13/2019 RCV3p27 FacilityList 2019-12-13FR.xls Page 2 of 19 Sta # VA Facility Location ST ZIP 3 VN TYPE PB 459GH SAIPAN VA CLINIC MP 969 21 OOS NPB 459MA HONOLULU, HI (DES) HI 968 21 DES PBO 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 MSCBOC PBO 460GC KENT COUNTY VA CLINIC, DE DE 199 4 MSCBOC 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 MSCBOC PBO 460HK WILMINGTON VA MOBILE CLINIC, DE DE 198 4 OOS PBO 460MA WILMINGTON, DE (DES) DE 198 4 DES PBO 463 ANCHORAGE VA MEDICAL CENTER, AK AK 995 20 VAMC 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 OOS 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 OOS PBO 501GH TRUTH OR CONSEQUENCES, NM NM 879 22 CBOC PBO 501GI ALAMOGORDO VA CLINIC, NM NM 883 22 OOS 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 OOS NPB 501HB RATON VA CLINIC, NM NM 877 22 OOS 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 MSCBOC PBO 502GE DOUGLAS FOURNET VA CLINIC, LA LA 706 16 OOS 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 MSCBOC PBO 503GC STATE COLLEGE VA CLINIC, PA PA 168 4 MSCBOC PBO 503GD HUNTINGDON COUNTY VA CLINIC, PA PA 170 4 OOS 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 MSCBOC PBO 504BZ CLOVIS, NM NM 881 17 CBOC PBO 504GA CHILDRESS VA CLINIC, TX TX 792 17 OOS PBO 504HB DALHART VA CLINIC, TX TX 790 17 OOS 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 MSCBOC PBO 506GB FLINT VA CLINIC, MI MI 485 10 CBOC PBO 506GC JACKSON, MI MI 492 10 MSCBOC 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 COMMUNITY LIVING CENTER, GA GA 300 7 CLC PBH 508BU VA DOM FORT McPHERSON, GA GA 303 7 DOM PBO 508GA FORT McPHERSON VA CLINIC, GA GA 303 7 MSCBOC PBO 508GE OAKWOOD VA CLINIC, GA GA 305 7 MSCBOC 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 MSCBOC PBO 508GI NEWNAN VA CLINIC, GA GA 302 7 MSCBOC PBO 508GJ BLAIRSVILLE VA CLINIC, GA GA 305 7 MSCBOC PBO 508GK TRINKA DAVIS VETERANS VILLAGE, GA GA 301 7 VAMC PBH 508GL ROME VA CLINIC, GA GA 301 7 CBOC NPB 580GM PICKENS COUNTY VA CLINIC, GA GA 301 7 CBOC NPB 508GN COVINGTON VA CLINIC, GA GA 300 7 CBOC PBO 508GO NE COBB COUNTY VA CLINIC, GA GA 300 7 CBOC PBO 508GP SOUTH COBB COUNTY VA CLINIC, GA GA 300 7 CBOC PBO Supplement Table 3 VA Medical Facility Locations, Three-Digit Zip Codes, and Provider Based/Non-Provider Based Designation As of 12/13/2019 RCV3p27 FacilityList 2019-12-13FR.xls Page 3 of 19 Sta # VA Facility Location ST ZIP 3 VN TYPE PB 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 CBOC PBO 508QF ATLANTA VA CLINIC, GA GA 300 7 MSCBOC PBO 508QH SOUTH FULTON COUNTY VA CLINIC, GA GA 303 7 OOS PBO 508QJ NORTH FULTON COUNTY VA CLINIC, GA GA 303 7 OOS PBO 509 CHARLIE A.NORWOOD VAMC, GA - DOWNTOWN DIVISION GA 309 7 VAMC PBH 509A0 CHARLIE A.