01157
Provider Address
2013-03-10
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.
LengthNot specified
23 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 | C | Address Type | ||
| 8 | O | - | Other Geographic Designation | |
| 9 | O | County/Parish Code | ||
| 10 | O | Census Tract | ||
| 11 | O | Address Representation Code | ||
| 12 | W | - | Address Validity Range | |
| 13 | O | - | Effective Date | |
| 14 | O | - | Expiration Date | |
| 15 | O | Expiration Reason | ||
| 16 | O | Temporary Indicator | ||
| 17 | O | Bad Address Indicator | ||
| 18 | O | Address Usage | ||
| 19 | O | - | Addressee | |
| 20 | O | - | Comment | |
| 21 | O | - | Preference Order | |
| 22 | O | Protection Code | ||
| 23 | O | - | Address Identifier |