| Name | Description | Type | Additional information |
|---|---|---|---|
| Id | globally unique identifier |
None. |
|
| ProviderName | string |
None. |
|
| ProviderStatus | OptionSetValueModel |
None. |
|
| PrimaryContactName | string |
None. |
|
| Affiliate | boolean |
None. |
|
| AccountType | string |
None. |
|
| ProviderAddress1 | string |
None. |
|
| ProviderCity | string |
None. |
|
| ProviderCountry | Country |
None. |
|
| ProviderPhone | string |
None. |
|
| ProviderPostalCode | string |
None. |
|
| ProviderStateProvince | StateProvince |
None. |
|
| ProviderStateProvinceString | string |
None. |
|
| ProviderWebsite | string |
None. |
|
| IsAttested | boolean |
None. |