Ambulatory Health Care Facilities (999) PERSON CLASS (8932.1)

Name	Value
PROVIDER TYPE	Ambulatory Health Care Facilities
CLASSIFICATION	Clinic/Center
DEFINITION	An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
AREA OF SPECIALIZATION	Methadone
STATUS	Active
X12 CODE	261QM2800X
INDIVIDUAL/NON	NON-INDIVIDUAL
MASTER ENTRY FOR VUID	YES
VUID	5252207
EFFECTIVE DATE/TIME	2018-04-02 15:35:39 STATUS: INACTIVE 2018-08-30 09:52:00 STATUS: ACTIVE