owners 17 Voluntary /Proprietary 18 Proprietary/Government 19 Voluntary/Government 88 N/A The individual only – practices as part of a group, e.g., as an employee 59-59 Delimiter Use the ^ character value 1 Character R 60-61 The FIPS State code is a 2-digit 2 Numeric O code developed by the Census Bureau for state designation. To obtain the correct state designation, please click the name of the field. 62-62 Delimiter Use the ^ character value 1 Character R 63-65 The FIPS County code is a 3 Numeric O code developed by the US Census Bureau for county designation within a state. To obtain the correct county designation, please click the name of the field. 66-66 Delimiter Use the ^ character value 1 Character R 67-126 Provider The email address associated 60 Character O Business with the provider's billing Mailing Email address. Address Blank (Space filled) if no email address exists. 127-127 Delimiter Use the ^ character value 1 Character R 128-187 Provider The email address associated 60 Character O Business with the provider's physical Location Email address. Address Blank (Space filled) if no email address exists. 188-188 Delimiter Use the ^ character value 1 Character R 189-189 License Type 1 1 State, county, or municipality 1 Numeric R professional or business license 2 DEA license 3 Professional society accreditation 4 CLIA accreditation 5 Other 190-190 Delimiter Use the ^ character value 1 Character R 191-210 License Or A data element to capture the 20 Character R license or accreditation number 1 issued to the provider by the licensing entity or accreditation body.
owners 17 Voluntary /Proprietary 18 Proprietary/Government 19 Voluntary/Government 88 N/A – The individual only practices as part of a group, e.g., as an employee 59-59 Delimiter Use the ^ character value 1 Character R 60-61 The FIPS State code is a 2-digit code developed by the Census Bureau for state designation. To obtain the correct state designation, please click the name of the field. 2 Numeric O 62-62 Delimiter Use the ^ character value 1 Character R 63-65 The FIPS County code is a code developed by the US Census Bureau for county designation within a state. To obtain the correct county designation, please click the name of the field. 3 Numeric O 66-66 Delimiter Use the ^ character value 1 Character R 67-126 Provider Business Mailing Email Address The email address associated with the provider's billing address. Blank (Space filled) if no email address exists. 60 Character O 127-127 Delimiter Use the ^ character value 1 Character R 128-187 Provider Business Location Email Address The email address associated with the provider's physical address. Blank (Space filled) if no email address exists. 60 Character O 188-188 Delimiter Use the ^ character value 1 Character R 189-189 License Type 1 1 State, county, or municipality professional or business license 2 DEA license 3 Professional society accreditation 4 CLIA accreditation 5 Other 1 Numeric R 190-190 Delimiter Use the ^ character value 1 Character R 191-210 License Or 1 A data element to capture the license or accreditation number issued to the provider by the licensing entity or accreditation body. 20 Character R
PIHP_CSoC_SystemsCompanionGuide-Sept2018_V12.docx