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COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE PROVIDER NAME/ADDRESS: MONTGOMERY HOSPITAL MEDICAL CENTER 1301 POWELL STREET NORRISTOWN, PA 19404-0992 PROVIDER S REPRESENTATIVE TIMOTHY M.
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How to fill out provider nameaddress mongtomery hospital
01
To fill out the provider name and address for Montgomery Hospital, you will need to gather the necessary information beforehand. This includes the official name of the hospital and its complete address, including street name, city, state, and ZIP code.
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Begin by locating the designated section or form where the provider name and address are required. This could be an online registration form, a printed application, or a specific field on a document.
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Start by entering the full name of the hospital in the designated space. Ensure that you have the correct spelling and punctuation to accurately represent the name.
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Next, input the complete address of Montgomery Hospital. This includes the building number, street name, city or town, state, and ZIP code. Double-check the accuracy of these details before proceeding.
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Who needs the provider name and address for Montgomery Hospital?
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Individuals seeking medical services from Montgomery Hospital may need to provide its name and address. This could include patients looking to schedule appointments, fill out insurance paperwork, or seek reimbursement.
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Healthcare professionals collaborating with Montgomery Hospital, such as referring physicians or specialists, may also require the provider name and address for accurate documentation and referrals.
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Government agencies, regulatory bodies, or accreditation organizations may require the provider name and address as part of compliance, audit, or reporting processes.
In summary, anyone interacting with Montgomery Hospital, either as a patient, healthcare provider, insurance company, or regulatory body, may need the correct provider name and address for various purposes.
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