| Name | Value |
|---|---|
| FORM FIELD REFERENCE | LEGACY HCFA-1500 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-LAB OR FACILITY PRIMARY ID |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | D BOX324^IBCEP8A(IBXIEN,.IBXSAVE,.IBXDATA) |
| FORMAT CODE DESCRIPTION | HCFA-1500 form, Box 32, Line 4. Display mammography certification number if it exists. Otherwise, display the facility tax ID for remote VA site or non-VA site. |