| Name | Value |
|---|---|
| PROVIDER TYPE | Nursing Service Related Providers |
| CLASSIFICATION | Religious Nonmedical Practitioner |
| DEFINITION | A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence. |
| STATUS | Active |
| VA CODE | V170101 |
| X12 CODE | 374K00000X |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5253056 |
| EFFECTIVE DATE/TIME |
|