| NAME |
ANTHEM CBOC |
| STATE |
ARIZONA |
| STREET ADDR. 1 |
41810 NORTH VENTURE DRIVE, BUILDING B |
| CITY |
ANTHEM |
| ZIP |
85086-3169 |
| OFFICIAL VA NAME |
ANTHEM CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ANTHEM VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1477504975
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| TIMEZONE EXCEPTION |
SST Only |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
649GD |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1477504975
-
- CODING SYSTEM: VASTANUM
- ID: 649GD
-
- CODING SYSTEM: CLIA
- ID: 03D1032417
|
