CERT REG Clinic or NURS ANEST Other Group Nursing Service Providers 91 (IND & GP) 70 Practice 163W00000X Registered Nurse PRIVATE 92 DUTY NURSE NULL NA NULL Physician Assistants & Advanced CLINICAL Practice Nursing NURSE General Providers/Clinical Nurse 93 SPECIALIST 2 Surgery 364S00000X Specialist LTX_Prov_ Specialty_ Desc LTX_Taxonomy_Desc Physician Assistants & Advanced Practice Nursing Providers/Clinical Nurse PHYSICIAN Specialist, Psychiatric/Mental 94 ASSISTANT 26 Psychiatry 364SP0808X Health Physician Assistants & Advanced PHYSICIAN Physician Practice Nursing 94 ASSISTANT 2R Assistant 363A00000X Providers/Physician Assistant American AMERICAN Indian / Suppliers Indian Health INDIAN/638 Native Service/Tribal/Urban Indian 95 FACILITY 2T Alaskan 332800000X Health (I/T/U) Pharmacy PSYCH RESID Residential Treatment Facilities TREAT Psychiatric Residential Treatment 96 FACILITY 8L PRTF 323P00000X Facility PSYCH RESID IP - Residential Treatment Facilities TREAT Physician - Psychiatric Residential Treatment 96 FACILITY 8P MD 323P00000X Facility Psychiatric PSYCH RESID Residential Residential Treatment Facilities TREAT Treatment Psychiatric Residential Treatment 96 FACILITY 9B Facility 323P00000X Facility ADULT Nursing Service Related Residential Providers Technician Personal 97 CARE FAC 9D Care 3747P1801X Care Attendant SUPPORTED Supported Agencies Day Training, EMPLYMENT Developmentally Disabled 98 (IN-ST) 98 251C00000X Services GNOCHC - Greater New Orleans GREAT NO Community COMM HLTH Health Agencies/Public Health or 99 CONN(IN-ST) 9P Connection 251K00000X Welfare ASSERTIVE Ambulatory Health Care COMM Facilities Clinic/Center AA TREAT TEAM NULL 261QC1500X Community Health PREPAID Statewide INPATIENT Managed Care Organizations AB HLTH PLAN 5I 305R00000X Preferred Provider Organization
91 CERT REG NURS ANEST (IND & GP) 70 Clinic or Other Group Practice 163W00000X Nursing Service Providers Registered Nurse 92 PRIVATE DUTY NURSE NULL NA NULL 93 CLINICAL NURSE SPECIALIST 2 General Surgery 364S00000X Physician Assistants & Advanced Practice Nursing Providers/Clinical Nurse Specialist LTX_Prov_ Specialty_ Desc LTX_Taxonomy_Desc 94 PHYSICIAN ASSISTANT 26 Psychiatry 364SP0808X Physician Assistants & Advanced Practice Nursing Providers/Clinical Nurse Specialist, Psychiatric/Mental Health 94 PHYSICIAN ASSISTANT 2R Physician Assistant 363A00000X Physician Assistants & Advanced Practice Nursing Providers/Physician Assistant 95 AMERICAN INDIAN/638 FACILITY 2T American Indian / Native Alaskan 332800000X Suppliers Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 96 PSYCH RESID TREAT FACILITY 8L PRTF 323P00000X Residential Treatment Facilities Psychiatric Residential Treatment Facility 96 PSYCH RESID TREAT FACILITY 8P IP - Physician - MD 323P00000X Residential Treatment Facilities Psychiatric Residential Treatment Facility 96 PSYCH RESID TREAT FACILITY 9B Psychiatric Residential Treatment Facility 323P00000X Residential Treatment Facilities Psychiatric Residential Treatment Facility 97 ADULT CARE FAC 9D Residential Care 3747P1801X Nursing Service Related Providers Technician Personal Care Attendant 98 SUPPORTED EMPLYMENT (IN-ST) 98 Supported 251C00000X Agencies Day Training, Developmentally Disabled Services 99 GREAT NO COMM HLTH CONN(IN-ST) 9P GNOCHC - Greater New Orleans Community Health Connection 251K00000X Agencies/Public Health or Welfare AA ASSERTIVE COMM TREAT TEAM NULL 261QC1500X Ambulatory Health Care Facilities Clinic/Center Community Health AB PREPAID INPATIENT HLTH PLAN 5I Statewide 305R00000X Managed Care Organizations Preferred Provider Organization
PIHP_CSoC_SystemsCompanionGuide-Sept2018_V12.docx