Provider Category Subtype Code
Provider Category Code
Change of Ownership Count
Change of Ownership Date
City
Compliance: Plan of Correction
Compliance: Status
SSA County Code
Cross Ref Provider Number
Certification Date
Eligibility Switch
Facility Name
Intermediary Carrier Code
Medicare or Medicaid Vendor Number
Participation Date
Prior Change of Ownership Date
Intermediary Carrier Prior Code
Provider Number / CMS Certification Number (CCN)
Record Status Code
Region Code
Skeleton Record Switch
State Abbreviation
SSA State Code
State Region Code
Street Address
Telephone Number
Termination Code 1
Termination Date / Expiration Date 1
Type of Action
General Type of Control Code
ZIP Code
FIPS State Code
FIPS County Code
CBSA Urban Rural Indicator
Accreditation Type Code
Beds - Total Certified
Beds-Total
Branch Operation Switch
Change of Ownership Switch
Compliance: 24 Hour Registered Nurse
Compliance: 7 Day Registered Nurse
Compliance: Beds Per Room Waiver
Compliance: Life Safety Code
Compliance: Patient Room Size
Compliance: Scope of Service
Compliance: Technical Personnel Waiver
Current Survey Ever Accredited
Current Survey Ever Non-Accredited
Current Survey Ever Swing Bed
Experimental Research Conducted
Federal Program Support
Federally Funded Health Center
Fiscal Year Ending Date
FQHC Approved Rural Health Clinic
HHA Qualified For Outpatient Physical Therap
Hospice Switch
Hospital Based Switch
Medicare or Medicaid Participating Provider
Meets 1861 Definition
Multi-Facility Organization Owned
Nurse Practitioners
Organized Family Group
Organized Resident Group
Other Personnel
PARENT_PROVIDER_NUMBER
Participation Medicare OPT / SP
Physician Assistants (PA)
Physician Extender Service Offsite To Reside
Physician Extender Service Onsite To Non-Res
Physician Extender Service Onsite To Residen
Physicians
Provider Based Facility
Psychiatric Unit Bed Count
Psychiatric Unit Switch
Regional Override # 1 (Number Beds)
Regional Override # 2 (Staffing)
Regional Override # 3 (Nurse - Bed)
Rehabilitation Unit Bed Count
Rehabilitation Unit Switch
Resident Program Approved by ADA
Resident Program Approved by AMA
Resident Program Approved by AOA
Resident Program Approved by Other
Service: Activities-Offsite-Residents Switch
Service: Activities-Onsite-Nonresidents Swit
Service: Activities-Onsite-Residents Switch
Service: Blood Administered-Offsite-Resident
Service: Blood Administered-Onsite-Nonreside
Service: Blood Administered-Onsite-Resident
Service: Clinical Laboratory-Offsite-Residen
Service: Clinical Laboratory-Onsite-Nonresid
Service: Clinical Laboratory-Onsite-Resident
Service: Dental  On-Site Nonresidents
Service: Dental Off-Site Residents
Service: Dental On-Site Residents
Service: Dietary  On-Site Nonresidents
Service: Dietary Off-Site Residents
Service: Dietary On-Site Residents
Service: Housekeeping  On-Site to Nonresiden
Service: Housekeeping Off-Site to Residents
Service: Housekeeping On-Site to Residents
Service: Mental Health  Off-Site to Resident
Service: Mental Health On-Site  to Residents
Service: Mental Health On-site to Nonresiden
Service: Nursing  On-Site to Nonresidents
Service: Nursing Off-Site to Residents
Service: Nursing On-Site to Residents
Service: Occupational Therapy  On-Site to
Service: Occupational Therapy Off-Site to Re
Service: Occupational Therapy On-Site to Res
Service: Other Activities-Offsite-Residents
Service: Other Activities-Onsite-Nonresident
Service: Other Activities-Onsite-Residents S
Service: Other Off-Site to Residents
Service: Other On-Site to Nonresidents
Service: Other On-Site to Residents
Service: Pharmacy Off-Site to Residents
Service: Pharmacy On-Site to Nonresidents
Service: Pharmacy On-Site to Residents
Service: Physical Therapy Off-Site to Reside
Service: Physical Therapy On-Site to Nonresi
Service: Physical Therapy On-Site to Residen
Service: Physician Off-Site to Residents
Service: Physician On-Site to Nonresidents
Service: Physician On-Site to Residents
Service: Podiatry Off-Site to Residents
Service: Podiatry On-Site to Nonresidents
Service: Podiatry On-Site to Residents
Service: Social Work Off-Site to Residents
Service: Social Work On-Site to Nonresidents
Service: Social Work On-Site to Residents
Service: Speech Pathology Off-Site to Reside
Service: Speech Pathology On-Site to Nonresi
Service: Speech Pathology On-Site to Residen
Service: Therapeutic Recreational Specialty
Service: Vocational Off-Site to Residents
Service: Vocational On-Site to Nonresidents
Service: Vocational On-Site to Residents
Service: X-ray Off-Site Residents
Service: X-ray On-Site Nonresidents
Service: X-ray On-Site Residents
Speciality: Thoracic Surgery
Speciality: Urology
Specialty: Cardiovascular
Specialty: Foot
Specialty: Neurological
Specialty: Obstetrics / Gynecology
Specialty: Opthamology
Specialty: Oral
Specialty: Orthopedic
Specialty: Otolaryngology
Specialty: Plastic Surgery
Specialty: Surgery
Subunit Operation Switch
Subunit Switch
Swing Bed Switch
Title of Federal Program