Pos	Id	Segment Name	Req	Max Use	Repeat	Usage
170	NM1	Service Provider Name	O	1		Required
180	REF	Service Provider Supplemental Identification	O	7		Situational
200	N3	Service Provider Address	O	1		Situational
210	N4	Service Provider City/State/ZIP Code	O	1		Situational
220	PER	Service Provider Contact Information	O	1		Situational
230	AAA	Service Provider Request Validation	O	9		Situational
240	PRV	Service Provider Information	O	1		Situational

Notes:

1. Use this segment to convey the name and identification number of the service provider (person, group, or facility) or to identify the specialty entity.
2. Use the maximum of three occurrences of Loop 2010E in a single Loop 2000E only when it is necessary to identify an individual provider within a specific group and facility when that provider and group provide services at multiple facilities.
3. Do not use multiple occurrences of Loop 2010E within a single Loop 2000E to certify admission to a facility and a specialist or services at that facility. In this case, two occurrences of Loop 2000E are required as follows:
The admission certification must be expressed in a separate Loop 2000E where the facility is identified in Loop 2010E and Loop 2000F identifies admission review as the request category.
The specialist and services are expressed in a separate Loop 2000E where the specialist or specialty is identified in Loop 2010E and Loop 2000F identifies the services.

Example:

NM1*SJ*1*WATSON*SUSAN****34*987654321~