| NAME |
SIERRA VISTA CBOC |
| STATE |
ARIZONA |
| STREET ADDR. 1 |
101 NORTH CORONADO DRIVE, SUITE A |
| STREET ADDR. 2 |
BLDG 45006 |
| CITY |
SIERRA VISTA |
| ZIP |
85635-6359 |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
SIERRA VISTA VA CBOC |
| ST. ADDR. 1 (MAILING) |
101 NORTH CORONADO DRIVE, SUITE A |
| ST. ADDR. 2 (MAILING) |
BLDG 45006 |
| CITY (MAILING) |
SIERRA VISTA |
| STATE (MAILING) |
ARIZONA |
| ZIP (MAILING) |
85635-6359 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1235173931
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| TIMEZONE EXCEPTION |
SST Only |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
678GA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1235173931
-
- CODING SYSTEM: VASTANUM
- ID: 678GA
-
- CODING SYSTEM: CLIA
- ID: 03D1017068
|
