| Parent File | Name | Number | Package |
|---|---|---|---|
| IB NON/OTHER VA BILLING PROVIDER(#355.93) | DATE/TIME OF LAST NPI CHANGE | 355.9301 | Integrated Billing |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | DATE/TIME OF LAST NPI CHANGE | 0;1 | DATE |
|
| .02 | STATUS | 0;2 | SET |
|
| .03 | NPI | 0;3 | FREE TEXT |
|
| .04 | PERSON AFFECTING LAST CHANGE | 0;4 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|