NAME TYPE LENGTH ---------------------------------------- ------ SERVICE PROVIDER ID QUALIFIER CHAR 2 This field indicates the type of provider identifier used in 'Service Provider Identifier'. SHORT NAME: PRVDQLFR LONG NAME: SRVC_PRVDR_ID_QLFYR_CD CODES: 01 = National Provider Identifier(NPI) 06 = UPIN 07 = NCPDP Number 08 = State License 11 = Federal Tax Number (TIN or EIN) 99 = Other Note: Values of 06, 08, 11, or 99 ARE only acceptable with NON-STANDARD FORMAT CODES of B, X or P. SOURCE: CCW