The name of the service facility.
A list of alternate names for the service facility.
A list of contact methods for the service facility.
The address of the service facility.
A description of the service facility.
An NPI specific to the service facility if applicable, i.e. if it has one and is not under the billing provider’s NPI. Box 32 section (a) of the CMS-1500 claim form.
The status of the service facility.
The operational status of the service facility.
The mode of the service facility.
The type of the service facility.
The physical type of the service facility.