This data element may contain the same information as ''Provider location address postal code''. NOTE: ZIP code plus 4-digit extension, if available. The postal ZIP or zone code in the mailing address of the provider being identified. Provider Business Mailing Address Postal Code This data element may contain the same information as ''Provider location address State name''. The State or Province name in the mailing address of the provider being identified. Provider Business Mailing Address State Name This data element may contain the same information as ''Provider location address City name''. The City name in the mailing address of the provider being identified. Provider Business Mailing Address City Name This data element may contain the same information as ''Provider second line location address''. The second line mailing address of the provider being identified. Provider Second Line Business Mailing Address This data element may contain the same information as ''Provider first line location address''. The first line mailing address of the provider being identified. Provider First Line Business Mailing Address Codes are: 3 = doing business as (d/b/a) name 4 = former legal business name 5 = other.

Provider Other Organization Name Type CodeĬode identifying the type of other name. Other name by which the organization provider is or has been known. PREMIER DIAGNOSTICS SLEEP DISORDER CLINIC A field cannot contain all special characters. The Organization Name field allows the following special characters: ampersand, apostrophe, 'at' sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. Provide organization name (legal business name used to file tax returns with the IRS). Provider Organization Name (Legal Business Name) The 'parent'-we don't know who the parent is in this example-must ensure that each subpart that submits its own claims to health plans has its own NPI. Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. Neither the pharmacy line of business nor the DME line of business represent legal entities instead, both lines of business are part of an organization (the 'parent') that is a legal entity. (3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. (2) A group practice that is not a sole proprietorship has a main location and could have other offices in different locations, but each office is not a separate legal entity instead, each office is part of the corporation (the 'parent') which is a legal entity. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. (1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the 'parent'), which is a legal entity. Here are three examples of organization health care providers that may be considered subparts and may apply for NPIs if so directed by their 'parents': Many organization health care providers who apply for NPIs are not legal entities themselves but are parts of other organization health care providers that are legal entities (the 'parents'). The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes.

If the organization is a subpart =, the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. The 'Is the organization a subpart?' question must be answered. 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).1 = (Person): individual human being who furnishes health care.Full Replica of the CMS (NPPES) NPI Record Field Nameġ0-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.Ĭode describing the type of health care provider that is being assigned an NPI.

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