Reltio NPI HCO Attributes Source Mapping
Learn about mapping attributes with the corresponding HCO header specified in the NPI source file.
Each Reltio NPI HCO attribute is mapped with the corresponding HCO header specified in the NPI source file.
| HCO Headers in NPI Source File | Reltio NPI HCO Attributes | Attribute Mapping Type/Rule | Cleanse Functions | Comments |
|---|---|---|---|---|
| NPI | Crosswalk | |||
| If Entity_Type_Code=1 then record is HCO | N/A | If Entity_Type_Code=2 then record is HCO | ||
| Replacement_NPI | N/A | |||
| Employer_Identification_Number__EIN | TaxID | Direct | ||
| Provider_Organization_Name__Legal_Business_Name | Name | Direct | hcoNameCleanser | if (Provider_Other_Organization_Name = Provider_Organization_Name__Legal_Business_Name) |
| Provider_Last_Name_Legal_Name | N/A | |||
| Provider_First_Name | N/A | |||
| Provider_Middle_Name | N/A | |||
| Provider_Name_Prefix_Text | N/A | |||
| Provider_Name_Suffix_Text | N/A | |||
| Provider_Credential_Text | N/A | |||
| Provider_Other_Organization_Name | DoingBusinessAsName / Name |
If Provider_Other_Organization_Name_Type_Code = 3 then create "DoingBusinessAsName" attribute else create "Name" attribute |
||
| Provider_Other_Organization_Name_Type_Code | N/A | |||
| Provider_Other_Last_Name | N/A | |||
| Provider_Other_First_Name | N/A | |||
| Provider_Other_Middle_Name | N/A | |||
| Provider_Other_Name_Prefix_Text | N/A | |||
| Provider_Other_Name_Suffix_Text | N/A | |||
| Provider_Other_Credential_Text | N/A | |||
| Provider_Other_Credential_Text | N/A | |||
| Provider_Other_Last_Name_Type_Code | N/A | |||
| Address.AddressType= Mailing | Hard-coded | |||
| Provider_First_Line_Business_Mailing_Address | Address.AddressLine1 | Direct | ||
| Provider_Second_Line_Business_Mailing_Address | Address.AddressLine2 | Direct | ||
| Provider_Business_Mailing_Address_City_Name | Address.City | Direct | ||
| Provider_Business_Mailing_Address_State_Name | Address.StateProvince | Direct | ||
| Address.Country=United States | Hard-coded | |||
| Provider_Business_Mailing_Address_Postal_Code | Address.zip.zip5/zip4 |
If Length=9, zip5= First 5 digits & zip4=Last 4 digits If Length=5, zip5= All 5 digits |
||
| Provider_Business_Mailing_Address_Country_Code__If_outside_U_S | N/A | |||
| Phone.Type="Business" | Hard-coded | |||
| Provider_Business_Mailing_Address_Telephone_Number | Phone.Number | Direct | phoneCleanser | |
| Phone.Type="Fax" | Hard-coded | |||
| Provider_Business_Mailing_Address_Fax_Number | Phone.Number | Direct | phoneCleanser | |
| Address.AddressType = Business | Hard-coded | |||
| Provider_First_Line_Business_Practice_Location_Address | Address.AddressLine1 | Direct | ||
| Provider_Second_Line_Business_Practice_Location_Address | Address.AddressLine2 | Direct | ||
| Provider_Business_Practice_Location_Address_City_Name | Address.City | Direct | ||
| Provider_Business_Practice_Location_Address_State_Name | Address.StateProvince | Direct | ||
| Address.Country=United States | Hard-coded | |||
| [1] Provider_Business_Practice_Location_Address_Postal_Code | Address.zip.zip5/zip4 |
If Length=9, zip5= First 5 digits & zip4=Last 4 digits If Length=5, zip5= All 5 digits |
||
| Provider_Business_Practice_Location_Address_Country_Code__If_outside_U_S | N/A | |||
| Phone.Type="Business" | Hard-coded | |||
| Provider_Business_Practice_Location_Address_Telephone_Number | Phone.Number | Direct | phoneCleanser | |
| Phone.Type="Fax" | Hard-coded | |||
| Provider_Business_Practice_Location_Address_Fax_Number | Phone.Number | Direct | phoneCleanser | |
| Provider_Enumeration_Date | Identifier.CreateDate | Direct | ||
| Last_Update_Date | Identifier.LastupdateDate | Direct | ||
| NPI_Deactivation_Reason_Code | Identifier.DeactivationReasonCode | Direct | ||
| NPI_Deactivation_Date | Identifier.DeactivationDate | Direct | ||
| NPI_Reactivation_Date | Identifier.ReactivationDate | Direct | ||
| Provider_Gender_Code | N/A | |||
| Authorized_Official_Last_Name | N/A | |||
| Authorized_Official_First_Name | N/A | |||
| Authorized_Official_Middle_Name | N/A | |||
| Authorized_Official_Title_or_Position | N/A | |||
| Authorized_Official_Telephone_Number | N/A | |||
| Healthcare_Provider_Taxonomy_Code_1 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_1 | License.Number | Direct | ||
| Provider_License_Number_State_Code_1 | License.State | Direct | ||
| Healthcare_Provider_Primary_Taxonomy_Switch_1 | Taxonomy.Type | Direct | ||
| Taxonomy.Group | Load from Healthcare_Provider_Taxonomy_Group_1 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_2 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_2 | License.Number | Direct | ||
| Provider_License_Number_State_Code_2 | License.State | Direct | ||
| Healthcare_Provider_Primary_Taxonomy_Switch_2 | Taxonomy.Type | Direct | ||
| Taxonomy.Group | Load from Healthcare_Provider_Taxonomy_Group_2 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_3 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_3 | License.Number | Direct | ||
| Provider_License_Number_State_Code_3 | License.State | Direct | ||
| Healthcare_Provider_Primary_Taxonomy_Switch_3 | Taxonomy.Type | Direct | ||
| Taxonomy.Group | Load from Healthcare_Provider_Taxonomy_Group_3 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_4 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_4 | License.Number | Direct | ||
| Provider_License_Number_State_Code_4 | License.State | Direct | ||
| Healthcare_Provider_Primary_Taxonomy_Switch_4 | Taxonomy.Type | Direct | ||
| Taxonomy.Group | Load from Healthcare_Provider_Taxonomy_Group_4 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_5 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_5 | License.Number | Direct | ||
| Provider_License_Number_State_Code_5 | License.State | Direct | ||
| Healthcare_Provider_Primary_Taxonomy_Switch_5 | Taxonomy.Type | Direct | ||
| Taxonomy.Group | Load from Healthcare_Provider_Taxonomy_Group_5 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_6 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_6 | License.Number | Direct | ||
| Provider_License_Number_State_Code_6 | License.State | Direct | ||
| Healthcare_Provider_Primary_Taxonomy_Switch_6 | Taxonomy.Type | Direct | ||
| Taxonomy.Group | Load from Healthcare_Provider_Taxonomy_Group_6 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_7 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_7 | License.Number | Direct | ||
| Provider_License_Number_State_Code_7 | License.State | Direct | ||
| Healthcare_Provider_Primary_Taxonomy_Switch_7 | Taxonomy.Type | Direct | ||
| Taxonomy.Group | Load from Healthcare_Provider_Taxonomy_Group_7 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_8 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_8 | License.Number | Direct | ||
| Provider_License_Number_State_Code_8 | License.State | Direct | ||
| Healthcare_Provider_Primary_Taxonomy_Switch_8 | Taxonomy.Type | Direct | ||
| Taxonomy.Group | Load from Healthcare_Provider_Taxonomy_Group_8 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_9 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_9 | License.Number | Direct | ||
| Provider_License_Number_State_Code_9 | License.State | Direct | ||
| Healthcare_Provider_Primary_Taxonomy_Switch_9 | Taxonomy.Type | Direct | ||
| Taxonomy.Group | Load from Healthcare_Provider_Taxonomy_Group_9 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_10 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_10 | License.Number | Direct | ||
| Provider_License_Number_State_Code_10 | License.State | Direct | ||
| Healthcare_Provider_Primary_Taxonomy_Switch_10 | Taxonomy.Type | Direct | ||
| Taxonomy.Group | Load from Healthcare_Provider_Taxonomy_Group_10 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_11 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_11 | License.Number | Direct | ||
| Provider_License_Number_State_Code_11 | License.State | Direct | ||
| Healthcare_Provider_Primary_Taxonomy_Switch_11 | Taxonomy.Type | Direct | ||
| Taxonomy.Group | Load from Healthcare_Provider_Taxonomy_Group_11 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_12 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_12 | License.Number | Direct | ||
| Provider_License_Number_State_Code_12 | License.State | Direct | ||
| Healthcare_Provider_Primary_Taxonomy_Switch_12 | Taxonomy.Type | Direct | ||
| Taxonomy.Group | Load from Healthcare_Provider_Taxonomy_Group_12 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_13 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_13 | License.Number | Direct | ||
| Provider_License_Number_State_Code_13 | License.State | Direct | ||
| Healthcare_Provider_Primary_Taxonomy_Switch_13 | Taxonomy.Type | Direct | ||
| Taxonomy.Group | Load from Healthcare_Provider_Taxonomy_Group_13 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_14 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_14 | License.Number | Direct | ||
| Provider_License_Number_State_Code_14 | License.State | Direct | ||
| Healthcare_Provider_Primary_Taxonomy_Switch_14 | Taxonomy.Type | Direct | ||
| Taxonomy.Group | Load from Healthcare_Provider_Taxonomy_Group_14 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_15 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_15 | License.Number | Direct | ||
| Provider_License_Number_State_Code_15 | License.State | Direct | ||
| Healthcare_Provider_Primary_Taxonomy_Switch_15 | Taxonomy.Type | Direct | ||
| Taxonomy.Group | Load from Healthcare_Provider_Taxonomy_Group_15 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Other_Provider_Identifier_1 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_1 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_1 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_1 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_2 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_2 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_2 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_2 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_3 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_3 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_3 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_3 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_4 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_4 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_4 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_4 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_5 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_5 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_5 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_5 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_6 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_6 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_6 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_6 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_7 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_7 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_7 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_7 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_8 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_8 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_8 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_8 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_9 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_9 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_9 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_9 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_10 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_10 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_10 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_10 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_11 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_11 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_11 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_11 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_12 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_12 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_12 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_12 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_13 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_13 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_13 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_13 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_14 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_14 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_14 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_14 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_15 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_15 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_15 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_15 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_16 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_16 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_16 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_16 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_17 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_17 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_17 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_17 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_18 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_18 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_18 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_18 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_19 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_19 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_19 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_19 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_20 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_20 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_20 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_20 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_21 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_21 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_21 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_21 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_22 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_22 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_22 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_22 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_23 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_23 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_23 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_23 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_24 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_24 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_24 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_24 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_25 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_25 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_25 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_25 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_26 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_26 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_26 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_26 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_27 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_27 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_27 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_27 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_28 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_28 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_28 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_28 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_29 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_29 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_29 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_29 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_30 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_30 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_30 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_30 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_31 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_31 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_31 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_31 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_32 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_32 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_32 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_32 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_33 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_33 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_33 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_33 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_34 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_34 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_34 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_34 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_35 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_35 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_35 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_35 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_36 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_36 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_36 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_36 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_37 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_37 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_37 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_37 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_38 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_38 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_38 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_38 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_39 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_39 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_39 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_39 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_40 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_40 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_40 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_40 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_41 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_41 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_41 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_41 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_42 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_42 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_42 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_42 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_43 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_43 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_43 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_43 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_44 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_44 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_44 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_44 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_45 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_45 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_45 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_45 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_46 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_46 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_46 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_46 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_47 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_47 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_47 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_47 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_48 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_48 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_48 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_48 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_49 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_49 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_49 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_49 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_50 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_50 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_50 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_50 | Identifier.Issuer | Direct | ||
| Is_Sole_Proprietor | N/A | |||
| Is_Organization_Subpart | IsOrganizationSubpart | Direct |
If 'Y' then True. If 'N' then False. |
|
| Parent_Organization_LBN | N/A | |||
| Parent_Organization_TIN | N/A | |||
| Authorized_Official_Name_Prefix_Text | N/A | |||
| Authorized_Official_Name_Suffix_Text | N/A | |||
| Authorized_Official_Credential_Text | N/A | |||
| Healthcare_Provider_Taxonomy_Group_1 | Taxonomy.Group | Direct | ||
| Healthcare_Provider_Taxonomy_Group_2 | Taxonomy.Group | Direct | ||
| Healthcare_Provider_Taxonomy_Group_3 | Taxonomy.Group | Direct | ||
| Healthcare_Provider_Taxonomy_Group_4 | Taxonomy.Group | Direct | ||
| Healthcare_Provider_Taxonomy_Group_5 | Taxonomy.Group | Direct | ||
| Healthcare_Provider_Taxonomy_Group_6 | Taxonomy.Group | Direct | ||
| Healthcare_Provider_Taxonomy_Group_7 | Taxonomy.Group | Direct | ||
| Healthcare_Provider_Taxonomy_Group_8 | Taxonomy.Group | Direct | ||
| Healthcare_Provider_Taxonomy_Group_9 | Taxonomy.Group | Direct | ||
| Healthcare_Provider_Taxonomy_Group_10 | Taxonomy.Group | Direct | ||
| Healthcare_Provider_Taxonomy_Group_11 | Taxonomy.Group | Direct | ||
| Healthcare_Provider_Taxonomy_Group_12 | Taxonomy.Group | Direct | ||
| Healthcare_Provider_Taxonomy_Group_13 | Taxonomy.Group | Direct | ||
| Healthcare_Provider_Taxonomy_Group_14 | Taxonomy.Group | Direct | ||
| Healthcare_Provider_Taxonomy_Group_15 | Taxonomy.Group | Direct |