| NAME |
ZZ-NEPHI CBOC |
| STATE |
UTAH |
| STREET ADDR. 1 |
48 WEST 1500 NORTH |
| STREET ADDR. 2 |
Central Valley Medical Center |
| CITY |
NEPHI |
| ZIP |
84648-8900 |
| OFFICIAL VA NAME |
VA SOUTH CENTERAL CBOC (660GI) |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
NEPHI VA CBOC |
| ST. ADDR. 1 (MAILING) |
48 WEST 1500 NORTH |
| CITY (MAILING) |
NEPHI |
| STATE (MAILING) |
UTAH |
| ZIP (MAILING) |
84648-8900 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1851335046
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
660GI |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1851335046
-
- CODING SYSTEM: VASTANUM
- ID: 660GI
|
