| NAME |
NORTHWEST TUCSON URBAN CBOC |
| STATE |
ARIZONA |
| STREET ADDR. 1 |
3920 W LINDA VISTA BLVD |
| CITY |
TUCSON |
| ZIP |
85742-9565 |
| OFFICIAL VA NAME |
NORTHWEST TUCSON URBAN CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
TUCSON VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-06-22 00:00:00
- STATUS: ACTIVE
- NPI: 1366648917
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| TIMEZONE EXCEPTION |
SST Only |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
678GF |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 3920 W LINDA VISTA BLVD
- CITY (CHANGED FROM): TUCSON
- STATE (CHANGED FROM): ARIZONA
- ZIP (CHANGED FROM): 85742-9998
|
| IDENTIFIER |
-
- CODING SYSTEM: CLIA
- ID: 03D1070843
|
