00679
Office/Home Address/Birthplace
2003-08-22
Definition: This field contains the office address and home address of the provider. This is a repeating field. This attribute is included in the ROL segment to allow communication of this data when the provider information may not have been communicated previously in a master file. This field is included in this segment to support international requirements, and is not intended as a master file update. This field correlates to STF-11 Office/Home Address.
Length≤250
14 components
| 1 | O | - | Street Address | |
| 2 | O | - | Other Designation | |
| 3 | O | - | City | |
| 4 | O | - | State or Province | |
| 5 | O | - | Zip or Postal Code | |
| 6 | O | Country | ||
| 7 | O | Address Type | ||
| 8 | O | - | Other Geographic Designation | |
| 9 | O | County/Parish Code | ||
| 10 | O | Census Tract | ||
| 11 | O | Address Representation Code | ||
| 12 | B | - | Address Validity Range | |
| 13 | O | - | Effective Date | |
| 14 | O | - | Expiration Date |