Agencies (963)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Agencies
CLASSIFICATION Home Infusion
STATUS Active
X12 CODE 251F00000X
INDIVIDUAL/NON NON-INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5251367
EFFECTIVE DATE/TIME
  • 2018-04-02 15:34:54
    STATUS:   INACTIVE
  • 2018-08-30 09:52:01
    STATUS:   ACTIVE