01157

Provider Address

2007-05-08
Definition: This field contains the mailing address of the provider identified in this segment. One of the key components to completing the “circle of care” and provider/institution bonding is the issuance of follow-up correspondence to the referring provider.
Length≤250
14 components
1O-Street Address
2O-Other Designation
3O-City
4O-State or Province
5O-Zip or Postal Code
6OCountry
7OAddress Type
8O-Other Geographic Designation
9OCounty/Parish Code
10OCensus Tract
11OAddress Representation Code
12B-Address Validity Range
13O-Effective Date
14O-Expiration Date