Parameters
| Name | Type | Mode |
|---|---|---|
| @IDNum | varchar | IN |
| @CompanyName | varchar | IN |
| @FirstName | varchar | IN |
| @LastName | varchar | IN |
| @Address | varchar | IN |
| @State | varchar | IN |
| @City | varchar | IN |
| @Zip | varchar | IN |
| @Telephone | varchar | IN |
| @Fax | varchar | IN |
| @Extension | int | IN |
| @Comments | varchar | IN |
| @SourceTypeID | int | IN |
| @programTypeStr | varchar | IN |
| @payGroupID | int | IN |
| @Npi | varchar | IN |