CARL T HAYDEN SARRTP (2274)    INSTITUTION (4)

Name Value
NAME CARL T HAYDEN SARRTP
STATE ARIZONA
STREET ADDR. 1 650 EAST INDIAN SCHOOL ROAD
CITY PHOENIX
ZIP 85012-1839
OFFICIAL VA NAME CARL T HAYDEN SARRTP
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME PHOENIX VA CARE SITE
EFFECTIVE DATE/TIME
  • 2015-09-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1104286418
TAXONOMY CODE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
TIMEZONE EXCEPTION SST Only
STATION NUMBER 644PB
IDENTIFIER
  • CODING SYSTEM:   VASTANUM
    ID:   644PB