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.

Table 1. Reltio NPI HCO Attributes Source Mapping
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