CMS 1500 - BOX 32: SERVICE FACILITILY LOCATION INFORMATION

If services were in a location other than the Provider’s office
or the member’s home, enter the name and address of that
facility.

32 a. Enter the Facility NPI number. Not required at this
time.

32 b. Enter the 2-digit MaineCare Identifier (1D) and one
space followed by the Facility Provider number. Do not
enter the Servicing Provider ID number here. Not required at
this time.