| 46456-0 | CMS certification number (CCN) Agency |
| 46493-3 | Medicaid provider number Agency |
| 46494-1 | State location of agency branch |
| 46495-8 | Branch number during assessment period Agency |
| 71525-0 | Authorized batch submitting organization Agency |
| 91887-0 | Agency type |
| 92191-6 | Staff Agency |
| 96993-1 | Federal agency code |