| NAME |
FLAGSTAFF CBOC |
| STATE |
ARIZONA |
| STREET ADDR. 1 |
1300 W UNIVERSITY AVE #200 |
| CITY |
FLAGSTAFF |
| ZIP |
86001-7228 |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
FLAGSTAFF VA CBOC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1952345076
-
- 2011-11-02 00:00:00
- STATUS: ACTIVE
- NPI: 1952345076
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| TIMEZONE EXCEPTION |
SST Only |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
649GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1952345076
-
- CODING SYSTEM: VASTANUM
- ID: 649GB
|
