Ambulatory Health Care Facilities (1005) PERSON CLASS (8932.1)
Name
Value
PROVIDER TYPE
Ambulatory Health Care Facilities
CLASSIFICATION
Clinic/Center
AREA OF SPECIALIZATION
Multi-Specialty
STATUS
Active
X12 CODE
261QM1300X
SPECIALTY CODE
70
INDIVIDUAL/NON
NON-INDIVIDUAL
MASTER ENTRY FOR VUID
YES
VUID
5252201
EFFECTIVE DATE/TIME
2018-04-02 15:35:58
STATUS: INACTIVE
2018-04-02 15:36:13
STATUS: ACTIVE
