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field
type
attributes
notes
example
entity_idint(2010)UNSIGNED NOT NULL AUTO_INCREMENTProvided by Pellucid, same as entities table1219198502
mpn_idvarchar(7)DEFAULT NULLMedicare Provider Number025236
npi_idint(12)DEFAULT NULLNational Provider Identifier1234567891
local_idvarchar(1012)DEFAULT NULLAssigned by data provider, ex: state 0012
namevarchar(255)DEFAULT NULL MCO NameTed's ACO
akavarchar(255)DEFAULT NULL Alternative MCO NameTed Jr's ACO
addressvarchar(255)DEFAULT NULLPhysical Location123 Fake St
cityvarchar(255)DEFAULT NULL Physical LocationLake Success
statevarchar(2)DEFAULT NULLTwo-letter state abbreviationNY
state_fipsvarchar(102)DEFAULT NULL

Nationally defined

09
zipcodevarchar(510)DEFAULT NULL 5 Digit Postal Code11042
county_namevarchar(30255)DEFAULT NULL Physical LocationNassau
county_fipsvarchar(103)DEFAULT NULLDetermined by state056
phone_numbervarchar(4625)DEFAULT NULL Telephone Number5165550123
urlvarchar(255)DEFAULT NULLurlWebsite addresswww.site.com
closed_datedateDEFAULT NULL

YYYY-MM-DD

2011-01-12
createddatetime DEFAULT NULLwhen When the row was created2000-01-01 11:11:11
modifieddatetime DEFAULT NULLwhen When the row was most recently changed2014-08-01 01:12:12