| NAME |
NORTHERN ARIZONA HCS |
| STATE |
ARIZONA |
| STREET ADDR. 1 |
500 N. HWY 89 |
| CITY |
PRESCOTT |
| ZIP |
86313-5001 |
| OFFICIAL VA NAME |
NORTHERN ARIZONA HEALTH CARE SYSTEM - PRESCOTT DIVISION |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
PRESCOTT VAMC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1275583684
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| TIMEZONE EXCEPTION |
SST Only |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
649 |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1275583684
-
- CODING SYSTEM: VASTANUM
- ID: 649
-
- CODING SYSTEM: CLIA
- ID: 03D0987841
|