cms 1500 32 Service Facility Location Information

Enter the name, address, city, state, and zip code of the location where the services were provided. Providers of the service (namely physicians) must identify the supplier’s name, address, zip code, and NPI when billing for purchased diagnostic tests. When more than one supplier is used, use a separate CMS-1500 claim form for each supplier. Enter the name and address information in the following format:

• 1st line: name
• 2nd line: address
• 3rd line: city, state, and zip code

Do not use commas, periods, or other punctuation in the address (for example, 123 N Main Street 101 instead of 123 N. Main Street, #101).

Enter a space between town name and state code; do not include a comma. When entering a nine-digit zip code, include a hyphen.  

32a NPI
Enter the NPI of the service facility location in Field 32.