| NAME |
YUMA CBOC |
| STATE |
ARIZONA |
| STREET ADDR. 1 |
3111 SOUTH 4TH AVE |
| CITY |
YUMA |
| ZIP |
85364-8122 |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
YUMA VA CBOC |
| ST. ADDR. 1 (MAILING) |
3111 SOUTH 4TH AVE |
| CITY (MAILING) |
YUMA |
| STATE (MAILING) |
ARIZONA |
| ZIP (MAILING) |
85364-8122 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1649219528
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| TIMEZONE EXCEPTION |
SST Only |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
678GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1649219528
-
- CODING SYSTEM: VASTANUM
- ID: 678GB
-
- CODING SYSTEM: CLIA
- ID: 03D0987885
|
