19 DMH Hospital 20 Sub-Acute Hospital Licensed Hospital Satellite 21 Emergency Facility 22 Hospital Emergency Center 23 Nursing Home Freestanding Ambulatory Surgery 24 Center Hospital Licensed Ambulatory 25 Surgery Center 26 Non-Health Corporations 27 School Based Health Center 28 Rest Home 29 Licensed Hospital Satellite Facility 30 Hospital Licensed Health Center 31 Other Facility 40 Physician (PV034 = 1) 50 Physician Group (PV034 = 3) 60 Nurse (PV034 = 1) 70 Clinician (PV034 = 1) 80 Technician (PV034 = 1) Pharmacy / Site or Mail Order 90 (PV034 = 4 or 5) Individual or Group (PV034 = 1 99 or 3) Lookup Report provider gender in alpha Required Gender Gender of Provider PV 14 11/8/12 Table - tlkpGender char[1] format as found on certification, when 98% B Code identified in PV002 Text contract and / or license. = 1 Code Description F Female
19 DMH Hospital 20 Sub-Acute Hospital 21 Licensed Hospital Satellite Emergency Facility 22 Hospital Emergency Center 23 Nursing Home 24 Freestanding Ambulatory Surgery Center 25 Hospital Licensed Ambulatory Surgery Center 26 Non-Health Corporations 27 School Based Health Center 28 Rest Home 29 Licensed Hospital Satellite Facility 30 Hospital Licensed Health Center 31 Other Facility 40 Physician (PV034 = 1) 50 Physician Group (PV034 = 3) 60 Nurse (PV034 = 1) 70 Clinician (PV034 = 1) 80 Technician (PV034 = 1) 90 Pharmacy / Site or Mail Order (PV034 = 4 or 5) 99 Individual or Group (PV034 = 1 or 3) PV 14 Gender Code 11/8/12 Lookup Table - Text tlkpGender char[1] Gender of Provider identified in PV002 Report provider gender in alpha format as found on certification, contract and / or license. Required when = 1 98% B Code Description F Female