02361
Performing Facility
2015-07-13
Definition: This field contains the name of the Facility where the service is performed by the Provider Person/Group identified in FT1-20 - Performed By Code.
LengthNot specified
10 components
| 1 | O | - | Organization Name | |
| 2 | O | Organization Name Type Code | ||
| 3 | W | - | ID Number | |
| 4 | W | - | Identifier Check Digit | |
| 5 | W | - | Check Digit Scheme | |
| 6 | O | Assigning Authority | ||
| 7 | O | Identifier Type Code | ||
| 8 | O | - | Assigning Facility | |
| 9 | O | Name Representation Code | ||
| 10 | O | - | Organization Identifier |