| ACOS HOSPITAL ID: |
{{org.acosHospitalId}} |
| AGENCY CODE: |
{{org.agencyCode}} |
| BILLING FACILITY NAME: |
{{org.billingFacilityName}} |
| CITY: |
{{org.city}} |
| CITY (MAILING): |
{{org.cityMailing}} |
| CURRENT LOCATION: | {{org.currentLocation}} |
| DISTRICT: | {{org.district}} |
| DOMAIN: | {{org.domain}} |
| FACILITY DEA EXPIRATION DATE" : |
{{org.facilityDeaExpirationDate}} |
| FACILITY DEA NUMBER: |
{{org.facilityDeaNumber}} |
| FACILITY TYPE: |
{{org.facilityType}} |
| INACTIVE FACILITY FLAG: |
{{org.inactiveFacilityFlag}} |
| MULTI-DIVISION FACILITY: |
{{org.multiDivisionFacility}} |
| NAME: | {{org.name}} |
| NPI: | {{org.npi}} |
| OFFICIAL VA NAME: | {{org.officialVaName}} |
| POINTER TO AGENCY: | {{org.pointerToAgency}} |
| REGION: | {{org.region}} |
| REPORTING STATION: | {{org.reportingStation}} |
| SHORT NAME: | {{org.shortName}} |
| ST. ADDR. 1 (MAILING): | {{org.stAddr_1Mailing}} |
| ST. ADDR. 2 (MAILING): | {{org.stAddr_2Mailing}} |
| STATE: | {{org.state}} |
| STATE (MAILING): | {{org.stateMailing}} |
| STATION NUMBER: | {{org.stationNumber}} |
| STATUS: | {{org.status}} |
| STREET ADDR. 1: | {{org.streetAddr_1}} |
| STREET ADDR. 2: | {{org.streetAddr_2}} |
| VA TYPE CODE: | {{org.vaTypeCode}} |
| ZIP: | {{org.zip}} |
| ZIP (MAILING): | {{org.zipMailing}} |
| ASSOCIATIONS.ASSOCIATIONS[1]: |
{{org.associationsAssociations_1}} |
| ASSOCIATIONS.PARENT OF ASSOCIATION[1]: |
{{org.associationsParentOfAssociation_1}} |
| ASSOCIATIONS.ASSOCIATIONS[2]: |
{{org.associationsAssociations_2}} |
| ASSOCIATIONS.PARENT OF ASSOCIATION[2]: |
{{org.associationsParentOfAssociation_2}} |
| CONTACT.AREA[1]: | {{org.contactArea_1}} |
| CONTACT.CONTACT[1]: | {{org.contactContact_1}} |
| CONTACT.PHONE #[1]: | {{org.contactPhone_1}} |
| CONTACT.AREA[2]: | {{org.contactArea_2}} |
| CONTACT.CONTACT[2]: | {{org.contactContact_2}} |
| CONTACT.PHONE #[2]: | {{org.contactPhone_2}} |
| CONTACT.AREA[3]: | {{org.contactArea_3}} |
| CONTACT.CONTACT[3]: | {{org.contactContact_3}} |
| CONTACT.PHONE #[3]: | {{org.contactPhone_3}} |
| EFFECTIVE DATE/TIME.EFFECTIVE DATE/TIME[1]: |
{{org.effectiveDatetimeEffectiveDatetime_1}} |
| EFFECTIVE DATE/TIME.NPI[1]: |
{{org.effectiveDatetimeNpi_1}} |
| EFFECTIVE DATE/TIME.STATUS[1]: |
{{org.effectiveDatetimeStatus_1}} |
| TAXONOMY CODE.PRIMARY CODE[1]: |
{{org.taxonomyCodePrimaryCode_1}} |
| TAXONOMY CODE.STATUS[1]: |
{{org.taxonomyCodeStatus_1}} |
| TAXONOMY CODE.TAXONOMY CODE[1]: |
{{org.taxonomyCodeTaxonomyCode_1}} |
| HISTORY.ACTIVATED FACILITY[3000701]: |
{{org.historyActivatedFacility_3000701}} |
| HISTORY.DEACTIVATED FACILITY / STA #[3000701]: |
{{org.historyDeactivatedFacilitySta_3000701}} |
| HISTORY.EFFECTIVE DATE[3000701]: |
{{org.historyEffectiveDate_3000701}} |
| HISTORY.NAME (CHANGED FROM)[3000701]: |
{{org.historyNameChangedFrom_3000701}} |
| HISTORY.OFFICAL VA NAME (CHANGED FROM)[3000701]: |
{{org.historyOfficalVaNameChangedFrom_3000701}} |
| HISTORY.REALIGNED FROM[3000701]: |
{{org.historyRealignedFrom_3000701}} |
| HISTORY.REALIGNED TO[3000701]: |
{{org.historyRealignedTo_3000701}} |
| IDENTIFIER.CODING SYSTEM[1]: |
{{org.identifierCodingSystem_1}} |
| IDENTIFIER.EFFECTIVE DATE/TIME[1]: |
{{org.identifierEffectiveDatetime_1}} |
| IDENTIFIER.ID[1]: |
{{org.identifierId_1}} |
| IDENTIFIER.STATUS[1]: |
{{org.identifierStatus_1}} |
| IDENTIFIER.CODING SYSTEM[2]: |
{{org.identifierCodingSystem_2}} |
| IDENTIFIER.EFFECTIVE DATE/TIME[2]: |
{{org.identifierEffectiveDatetime_2}} |
| IDENTIFIER.ID[2]: |
{{org.identifierId_2}} |
| IDENTIFIER.STATUS[2]: |
{{org.identifierStatus_2}} |