Ambulatory Health Care Facilities (987) PERSON CLASS (8932.1)
Name
Value
PROVIDER TYPE
Ambulatory Health Care Facilities
CLASSIFICATION
Clinic/Center
AREA OF SPECIALIZATION
End-Stage Renal Disease (ESRD) Treatment
STATUS
Active
X12 CODE
261QE0700X
SPECIALTY CODE
B4
INDIVIDUAL/NON
NON-INDIVIDUAL
MASTER ENTRY FOR VUID
YES
VUID
5252147
EFFECTIVE DATE/TIME
2018-04-02 15:35:57
STATUS: INACTIVE
2018-04-02 15:36:13
STATUS: ACTIVE
