| 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
 
 
 
 |