|
Provider Type/Service Provided
|
Taxonomy Code
|
|
Adult Care Home Enhanced Level of Care
|
310400000X
|
|
Adult Care Home Level of Care
|
310400000X
|
|
Adult Care Home Special Care Alzheimer’s Level of Care
|
311500000X
|
|
Ambulance
|
341600000X
|
|
Area Mental Health (LME)
|
261QM0801X
|
|
Audiologists Group/Individual
|
231H00000X
|
|
Case Management Services
|
251B00000X (MCC and CSC)
2084P0015X (At Risk and HIV)
|
|
Chiropractic Group/Individual
|
111N00000X
|
|
Clinical Nurse Specialist – Mental Health/Psychiatric
|
364SP0808X
|
|
Community Intervention Services (All Enhanced Benefits
|
251S00000X
|
|
Durable Medical Equipment
|
332B00000X
|
|
Federally Qualified Health Clinic (FQHC) – All services
|
261QF0400X
|
|
Health Department – All Services
|
251K00000X
261QP0905X
|
|
Hearing Aid Dealer – Hearing Aid
|
237700000X
|
|
Home Health
|
251E00000X
|
|
Home Infusion Therapy (HIT)
|
251F00000X
|
|
Hospice Services Provided at Any Location
|
251G00000X
|
|
Hospital – Critical Access
|
282NC0060X
|
|
Hospital – General Services
|
282N00000X
|
|
Hospital – Psychiatric Services (‘S’ suffix on Medicaid Provider Number)
|
273R00000X
|
|
Hospital – Rehabilitation Services (‘T’ suffix on Medicaid Provider Number)
|
273Y00000X
276400000X
|
|
Independent and Outpatient Mental Health Services – Group
|
Any of the Behavioral Health and Social Service Taxonomies
|
|
Multiple Independent Practitioner - Group
|
193200000X
|
|
Nurse Practitioners – All Services except psychiatric related services
|
363L00000X
|
|
Nurse Practitioners – Mental Health/Psychiatric
|
363LP0808X
|
|
Nursing Home – Head Level of Care
|
364SP0813X
310500000X
|
|
Nursing Home – Vent Level of Care
|
2278S1500X
|
|
Nursing Home – Indian Facility Billing Intermediate Nursing Level of Care
|
313M00000X
|
|
Nursing Home – Indian Facility Billing Skilled Nursing Level of Care
|
314000000X
|
|
Nursing Home - Intermediate Care Level of Care
|
313M00000X
|
|
Nursing Home - Skilled Nursing Level of Care
|
314000000X
|
|
Occupational Therapists Group/Individual
|
225X00000X
|
|
Optical Supply Dealer – Optician
|
156FX1800X
|
|
Optical Supply Dealer – Eyewear Supplier
|
332H00000X
|
|
Optometry Group/Individual
|
152W00000X
|
|
Personal Care Services
|
3747P1801X
|
|
Pharmacy Prescription Services
|
333600000X
|
|
Physical Therapists Group/Individual
|
225100000X
|
|
Physician - Groups
|
193200000X (Multi-specialty)
193400000X (Single specialty)
|
|
Physician – Individuals
|
Any of the Allopathic and Osteopathic Taxonomies
|
|
Podiatry Group/Individual
|
213E00000X
|
|
Private Duty Nurses
|
251J00000X
|
|
Psychiatric Hospital – Inpatient
|
283Q00000X
|
|
Psychiatric Residential Treatment Facility (PRTF)
|
323P00000X
|
|
Residential Child Care
|
322D00000X
|
|
Respiratory Therapists Group/Individual
|
227800000X
|
|
Rural Health Clinic (RHC) – All Services
|
261QR1300X
|
|
Speech Pathologists Group/Individual
|
235Z00000X
|
|
Swing Bed – Any Facility
|
275N00000X
|
