Ambulatory Health Care Facilities (994)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Ambulatory Health Care Facilities
CLASSIFICATION Clinic/Center
AREA OF SPECIALIZATION Lithotripsy
STATUS Active
X12 CODE 261QL0400X
INDIVIDUAL/NON NON-INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5252171
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:39
    STATUS:   INACTIVE
  • 2018-08-30 09:52:01
    STATUS:   ACTIVE