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.
|
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PDD-CODE
Element: Code | Alpha 10
Contains the code.
|
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PDD-CONTACT-LAST
Element: Contact Last | Alpha 30 (Lower Case)
Contains the last name of the contact
person.
|
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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.
|
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PDD-ADDR1
Element: Addr1 | Alpha 30 (Lower Case)
This field contains the first line of
address information.
|
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PDD-ADDR2
Element: Addr1 | Alpha 30 (Lower Case)
This field contains the first line of
address information.
|
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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: City | Alpha 18 (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.
|
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PDD-USER1
Element: User1 | Alpha 10
Contains user-defined information.
|
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PDD-USER2
Element: User2 | Alpha 10
Contains user-defined information.
|
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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)
|
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PDD-SUPP-ADDR2
Element: Supp Addr2 | Alpha 30 (Lower Case)
|
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PDD-SUPP-ADDR3
Element: Supp Addr3 | Alpha 30 (Lower Case)
|
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PDD-SUPP-ADDR4
Element: Supp Addr4 | Alpha 30 (Lower Case)
|
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PDD-SUPP-CITY
Element: Supp City | Alpha 18 (Lower Case)
|
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PDD-SUPP-STATE
Element: Supp State | Alpha 2
|
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PDD-SUPP-ZIP
Element: Supp Zip | Alpha 10
|
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PDD-SUPP-CNTRY-CD
Element: Supp Cntry Cd | Alpha 2
|
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PDD-REPORT-PROV
Element: Report Prov | Alpha 10
|
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PDD-NUMERIC1
Element: Numeric1 | Signed 15.4
|
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PDD-NUMERIC2
Element: Numeric2 | Signed 15.4
|
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PDD-FACILITY-NAME
Element: Facility Name | Alpha 30
|
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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 |
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