| NAME |
COTTONWOOD CBOC |
| STATE |
ARIZONA |
| STREET ADDR. 1 |
501 SOUTH WILLARD ST |
| CITY |
COTTONWOOD |
| ZIP |
86326-8120 |
| OFFICIAL VA NAME |
COTTONWOOD CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
COTTONWOOD VA CBOC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1477505493
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| TIMEZONE EXCEPTION |
SST Only |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
649GE |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1477505493
-
- CODING SYSTEM: VASTANUM
- ID: 649GE
-
- CODING SYSTEM: CLIA
- ID: 03D1017039
|
