SOUTHEAST TUCSON CBOC (4053) INSTITUTION (4)

Name	Value
NAME	SOUTHEAST TUCSON CBOC
STATE	ARIZONA
STREET ADDR. 1	7395 S. HOUGHTON ROAD
CITY	TUCSON
ZIP	85747-3304
OFFICIAL VA NAME	SOUTHEAST TUCSON
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 22 PARENT FACILITY PARENT OF ASSOCIATION: SOUTHERN ARIZONA VA HCS
BILLING FACILITY NAME	SOUTHEAST TUCSON VA CBOC
EFFECTIVE DATE/TIME	2008-08-01 00:00:00 STATUS: ACTIVE NPI: 1366606410
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
TIMEZONE EXCEPTION	SST Only
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	678GG
IDENTIFIER	CODING SYSTEM: CLIA ID: 03D1087341