An off-campus location of a hospital must apply for, obtain, and use on all claims for reimbursement or payment for health care services provided at the off-campus location submitted on or after January 1, 2020, a unique NPI that is separate and distinct from the hospital’s NPI. The off-campus location’s unique NPI must be included on any claim for reimbursement or payment for health care services provided at the off-campus location, regardless of whether the claim is filed or submitted by or through a central office of the hospital or a health care clearinghouse.