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PRINTED: 04/23/2015 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER: HARRISON COUNTY HOSPITAL (X4)
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What is 004773 03122015 1141 hospital?
004773 03122015 1141 hospital is a form used for reporting hospital information.
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004773 03122015 1141 hospital must be filled out with accurate hospital data as per the instructions provided.
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004773 03122015 1141 hospital requires reporting of details such as hospital name, address, services offered, patient statistics, etc.
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