PAYSON CBOC (1984)    INSTITUTION (4)

Name Value
NAME PAYSON CBOC
STATE ARIZONA
STREET ADDR. 1 903 E HIGHWAY 260, SUITE #2
CITY PAYSON
ZIP 85531-4972
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME PAYSON VA CBOC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1215974696
TAXONOMY CODE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
TIMEZONE EXCEPTION SST Only
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 644GD
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1215974696
  • CODING SYSTEM:   VASTANUM
    ID:   644GD