Provider License Issuing Entity Identifier

SAS Name
LCNS_ISSG_ENT_ID

A data element to capture the identity of the agency issuing the license or accreditation number

Comments

The type of license is indicated in the LCNS_TYPE_CD field.

Values: Alphanumeric character string (e.g., 1, 01, ACCREDITATION, BOARD OF MEDICINE, CLIA)

Source: T-MSIS Annual Provider TAF