FMLY PLANNING Family Ambulatory Health Care CLINIC Planning Facilities Clinic/Center Family 71 97 Clinic 261QF0050X Planning, Non-Surgical FED Federally QUALIFIED Qualified Ambulatory Health Care HLTH CTR Health Facilities/Federally Qualified 72 (IN-ST) 42 Centers 261QF0400X Health Center (FQHC) FED RHC/FQHC QUALIFIED OPH Ambulatory Health Care HLTH CTR Certified Facilities/Federally Qualified 72 (IN-ST) 9L SBHC 261QF0400X Health Center (FQHC) LIC CL SOCIAL Social WORKER Worker Behavioral Health & Social 73 73 Enrollment 104100000X Service Providers Social Worker MENTAL HEALTH Clinic or Ambulatory Health Care CLINIC Other Group Facilities/Clinic/Center, Mental 74 70 Practice 261QM0801X Health OPTICAL Optician / Suppliers Eyewear Supplier 75 SUPPLIER 88 Optometrist 332H00000X (Equipment, not the service) Clinic or Ambulatory Health Care CENTER Other Group Facilities/End-Stage Renal 76 (IN-ST) 70 Practice 261QE0700X Disease (ESRD) Treatment MENTAL REHAB Mental Behavioral Health & Social AGENCY Health Service Providers/Psychologist, 77 78 Rehab 103TR0400X Rehabilitation NURSE Physician Assistants and Advanced Practice Nursing (IND & Family Providers - Nurse Practitioner - 78 GP) 8 Practice 363LF0000X Family NURSE Physician Assistants and Advanced Practice Nursing (IND & Providers - Nurse Practitioner - 78 GP) 16 OB/GYN 363LX0001X Obstetrics & Gynecology Physician Assistants & Advanced NURSE Practice Nursing Providers/Clinical Nurse (IND & Specialist, Psychiatric/Mental 78 GP) 26 Psychiatry 364SP0808X Health NURSE Physician Assistants and Advanced Practice Nursing (IND & Providers - Nurse Practitioner - 78 GP) 37 Pediatrics 363LP0200X Pediatrics NURSE Physician Assistants & Advanced (IND & Nurse Practice Nursing Providers/Nurse 78 GP) 79 Practitioner 363L00000X Practitioner RURAL HLTH Ambulatory Health Care Rural Health Facilities/Clinic/Center, Rural 79 94 Clinic 261QR1300X Health
71 FMLY PLANNING CLINIC 97 Family Planning Clinic 261QF0050X Ambulatory Health Care Facilities Clinic/Center Family Planning, Non-Surgical 72 FED QUALIFIED HLTH CTR (IN-ST) 42 Federally Qualified Health Centers 261QF0400X Ambulatory Health Care Facilities/Federally Qualified Health Center (FQHC) 72 FED QUALIFIED HLTH CTR (IN-ST) 9L RHC/FQHC OPH Certified SBHC 261QF0400X Ambulatory Health Care Facilities/Federally Qualified Health Center (FQHC) 73 LIC CL SOCIAL WORKER 73 Social Worker Enrollment 104100000X Behavioral Health & Social Service Providers Social Worker 74 MENTAL HEALTH CLINIC 70 Clinic or Other Group Practice 261QM0801X Ambulatory Health Care Facilities/Clinic/Center, Mental Health 75 OPTICAL SUPPLIER 88 Optician / Optometrist 332H00000X Suppliers Eyewear Supplier (Equipment, not the service) 76 CENTER (IN-ST) 70 Clinic or Other Group Practice 261QE0700X Ambulatory Health Care Facilities/End-Stage Renal Disease (ESRD) Treatment 77 MENTAL REHAB AGENCY 78 Mental Health Rehab 103TR0400X Behavioral Health & Social Service Providers/Psychologist, Rehabilitation 78 NURSE (IND & GP) 8 Family Practice 363LF0000X Physician Assistants and Advanced Practice Nursing Providers - Nurse Practitioner - Family 78 NURSE (IND & GP) 16 OB/GYN 363LX0001X Physician Assistants and Advanced Practice Nursing Providers - Nurse Practitioner - Obstetrics & Gynecology 78 NURSE (IND & GP) 26 Psychiatry 364SP0808X Physician Assistants & Advanced Practice Nursing Providers/Clinical Nurse Specialist, Psychiatric/Mental Health 78 NURSE (IND & GP) 37 Pediatrics 363LP0200X Physician Assistants and Advanced Practice Nursing Providers - Nurse Practitioner - Pediatrics 78 NURSE (IND & GP) 79 Nurse Practitioner 363L00000X Physician Assistants & Advanced Practice Nursing Providers/Nurse Practitioner 79 RURAL HLTH 94 Rural Health Clinic 261QR1300X Ambulatory Health Care Facilities/Clinic/Center, Rural Health
PIHP_CSoC_SystemsCompanionGuide-Sept2018_V12.docx