| Clinic/Center - Health Service — Health Service | 261QH0100X | |
| Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | 251T00000X | |
| Clinic/Center - Community Health — Community Health | 261QC1500X | |
| Health Maintenance Organization | 302R00000X | |
| Clinic/Center - Rural Health — Rural Health | 261QR1300X | |
| Homemaker | 376J00000X | |
| Long Term Care Hospital | 282E00000X | |
| In Home Supportive Care | 253Z00000X | |
| Respite Care | 385H00000X | |
| Non-emergency Medical Transport (VAN) | 343900000X | |
| Clinical Nurse Specialist - Long-Term Care — Long-Term Care | 364SL0600X | |
| Nursing Care | 251J00000X | |
| Community/Behavioral Health | 251S00000X | |
| Home Health | 251E00000X | Primary |
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