Provider No Clause Samples
Provider No. 001032423
Provider No. Service Area(s) (Region, Catchment Area or Waiver Contract Area) Region 11 1.14 Service Codes 17, 17C, 17D
Provider No. H H s 0 a a a a 4 6 0 a 0 9 2 a 0 1 0 2 9 4 4 2 WCA 5 SA, 7, 8, 9, 10C, 10CFC, 10COH, 11A, 11X, 13A, 13B, 13C,13D, 15, 16, 16A, 168, 18A, 20CFC, 34. 35, 36, 37. 41,418, 418A, 41E,43A,46,47,48,53,53A,54,58,61 ?EU
Provider No. Service Area(s) (Region, Catchment Area or Waiver Contract Area) Region 06
Provider No. Record the vocational counselor/job modification consultant’s provider number.