THUNDERBIRD VA CBOC (3885) INSTITUTION (4)

Name	Value
NAME	THUNDERBIRD VA CBOC
STATE	ARIZONA
STREET ADDR. 1	9424 N. 25th Avenue
CITY	Phoenix
ZIP	85021-2714
OFFICIAL VA NAME	THUNDERBIRD VA CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 22 PARENT FACILITY PARENT OF ASSOCIATION: PHOENIX VAMC
BILLING FACILITY NAME	THUNDERBIRD VA CBOC
ST. ADDR. 1 (MAILING)	9424 N. 25th Avenue
CITY (MAILING)	Phoenix
STATE (MAILING)	ARIZONA
ZIP (MAILING)	85021-2714
EFFECTIVE DATE/TIME	2009-06-19 00:00:00 STATUS: ACTIVE NPI: 1033345624
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
TIMEZONE EXCEPTION	SST Only
STATION NUMBER	644GE