Appendix J: Provider Type Codes
| Value | Description |
|---|---|
01 | Academic Institution |
02 | Adult Foster Care |
03 | Ambulance Services |
04 | Hospital Based Clinic |
05 | Stand-Alone, Walk-In/Urgent Care Clinic |
06 | Other Clinic |
07 | Community Health Center - General |
08 | Community Health Center - Urgent Care |
09 | Government Agency |
10 | Health Care Corporation |
11 | Home Health Agency |
12 | Acute Hospital |
13 | Chronic Hospital |
14 | Rehabilitation Hospital |
15 | Psychiatric Hospital |
16 | DPH Hospital |
17 | State Hospital |
18 | Veterans Hospital |
19 | DMH Hospital |
20 | Sub-Acute Hospital |
21 | Licensed Hospital Satellite Emergency Facility |
22 | Hospital Emergency Center |
23 | Nursing Home |
24 | Freestanding Ambulatory Surgery Center |
25 | Hospital Licensed Ambulatory Surgery Center |
26 | Non-Health Corporations |
27 | School Based Health Center |
28 | Rest Home |
29 | Licensed Hospital Satellite Facility |
30 | Hospital Licensed Health Center |
31 | Other Facility |
40 | Physician (PV003 = 1) |
50 | Physician Group (PV003 = 3) |
60 | Nurse (PV003 = 1) |
70 | Clinician (PV003 = 1) |
80 | Technician (PV003 = 1) |
90 | Pharmacy/Site or Mail Order (PV003 = 4 or 5) |
99 | Other Individual or Group (PV003 = 1 or 3) |