Ambulatory Health Care Facilities (983)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Ambulatory Health Care Facilities
CLASSIFICATION Clinic/Center
AREA OF SPECIALIZATION Dental
STATUS Active
X12 CODE 261QD0000X
INDIVIDUAL/NON NON-INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5252138
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:44
    STATUS:   INACTIVE
  • 2018-08-30 09:52:02
    STATUS:   ACTIVE