SOUTHWEST CBOC (1983)    INSTITUTION (4)

Name Value
NAME SOUTHWEST CBOC
STATE ARIZONA
STREET ADDR. 1 9250 W. THOMAS ROAD SUITE 400
CITY PHOENIX
ZIP 85037-3382
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME PHOENIX 1 VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1831138270
TAXONOMY CODE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
TIMEZONE EXCEPTION SST Only
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 644GC
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1831138270
  • CODING SYSTEM:   VASTANUM
    ID:   644GC
  • CODING SYSTEM:   CLIA
    ID:   03D2125481