| NAME |
LAKE HAVASU CITY CBOC |
| STATE |
ARIZONA |
| STREET ADDR. 1 |
2035 Mesquite Ave. |
| CITY |
Lake Havasu City |
| ZIP |
86403-5894 |
| OFFICIAL VA NAME |
Prescott CBOC Lake Havasu City |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
LAKE HAVASU VA CBOC |
| ST. ADDR. 1 (MAILING) |
2035 Mesquite Ave. |
| CITY (MAILING) |
Lake Havasu City |
| STATE (MAILING) |
ARIZONA |
| ZIP (MAILING) |
86403-5894 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1720034697
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| TIMEZONE EXCEPTION |
SST Only |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
649GC |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1720034697
-
- CODING SYSTEM: VASTANUM
- ID: 649GC
|
