Contains contact information detail (address and phone number) for specific
types of PCODES.
FIELD NAME |
DESCRIPTION/VALID VALUES |
UPDATED BY |
PDD-TYPE Element: Type | Alpha 2 Indicates whether code is
establishment, hospital, or physician.
|
|
PDD-CODE Element: Code | Alpha 10 Contains the code.
|
|
PDD-CONTACT-LAST Element: Contact Last | Alpha 30 (Lower Case) Contains the last name of the contact
person.
|
|
PDD-CONTACT-FIRST Element: Contact First | Alpha 15 (Lower Case) Contains the first name of the contact
person.
|
|
PDD-CONTACT-MI Element: Contact Mi | Alpha 1 Contains the middle initial of the
contact person.
|
|
PDD-ADDR1 Element: Hr Addr1 | Alpha 57 (Lower Case) This field contains the first line of
address information.
|
|
PDD-ADDR2 Element: Addr1 | Alpha 30 (Lower Case) This field contains the first line of
address information.
|
|
PDD-ADDR3 Element: Addr1 | Alpha 30 (Lower Case) This field contains the first line of
address information.
|
|
PDD-ADDR4 Element: Addr1 | Alpha 30 (Lower Case) This field contains the first line of
address information.
|
|
PDD-CITY Element: Hr City | Alpha 58 (Lower Case) This field contains the city of the
address.
|
|
PDD-STATE Element: State | Alpha 2 This field contains the two-character
state code of the address.
|
|
PDD-ZIP Element: Zip | Alpha 10 This field contains the postal code of
the address.
|
|
PDD-COUNTY Element: County | Alpha 25 (Lower Case) The county for the company address.
|
|
PDD-PHONE-COUNTRY Element: Phone Country | Alpha 6 This field contains the prefix of the
telephone number. For example, the
country or city code.
|
|
PDD-PHONE Element: Phone | Alpha 15 Phone number.
|
|
PDD-PHONE-EXT Element: Phone Ext | Alpha 5 This field contains the telephone
extension number.
|
|
PDD-FAX-COUNTRY Element: Phone Country | Alpha 6 This field contains the prefix of the
telephone number. For example, the
country or city code.
|
|
PDD-FAX-NUMBER Element: Phone | Alpha 15 Phone number.
|
|
PDD-FAX-EXT Element: Phone Ext | Alpha 5 This field contains the telephone
extension number.
|
|
PDD-EMAIL-ADDRESS Element: Email Address | Alpha 60 (Lower Case) Contains the e-mail address.
|
|
PDD-USER1 Element: User1 | Alpha 10 Contains user-defined information.
|
|
PDD-USER2 Element: User2 | Alpha 10 Contains user-defined information.
|
|
PDD-DATE-STAMP Element: Date Stamp | Numeric 8 (yyyymmdd) This field contains the server date
(month, date, and year) of the last
change to this record.
|
|
PDD-TIME-STAMP Element: Time Stamp | Numeric 6 (hhmmss) Contains the server time (hour, minute,
and second) when the record was last
changed.
|
|
PDD-USER-ID Element: User | Alpha 10 (Lower Case)
|
|
PDD-COUNTRY-CODE Element: Country Code | Alpha 2 Contains the country of the address.
|
|
PDD-CMA-CODE Element: Cma Code | Alpha 10 Contains the Census Metropolitan Area
code.
|
|
PDD-SUPP-ADDR1 Element: Supp Addr1 | Alpha 30 (Lower Case)
|
|
PDD-SUPP-ADDR2 Element: Supp Addr2 | Alpha 30 (Lower Case)
|
|
PDD-SUPP-ADDR3 Element: Supp Addr3 | Alpha 30 (Lower Case)
|
|
PDD-SUPP-ADDR4 Element: Supp Addr4 | Alpha 30 (Lower Case)
|
|
PDD-SUPP-CITY Element: Supp City | Alpha 58 (Lower Case)
|
|
PDD-SUPP-STATE Element: Supp State | Alpha 2
|
|
PDD-SUPP-ZIP Element: Supp Zip | Alpha 10
|
|
PDD-SUPP-CNTRY-CD Element: Supp Cntry Cd | Alpha 2
|
|
PDD-REPORT-PROV Element: Report Prov | Alpha 10
|
|
PDD-NUMERIC1 Element: Numeric1 | Signed 15.4
|
|
PDD-NUMERIC2 Element: Numeric2 | Signed 15.4
|
|
PDD-FACILITY-NAME Element: Facility Name | Alpha 30
|
|
PDD-HIPAA-ID-NBR Element: Hipaa Id Nbr | Alpha 30
|
|
PDD-HIPAA-ID-TYPE Element: Hipaa Id Type | Numeric 1
1 = Social Number 2 = Federal EIN 3 = HCFA Provider Number 4 = Other 5 = Service Provider Nbr |
|