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PRINTED: 05/22/2017 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Providence Kodiak Island Med is a medical facility located in Kodiak Island, Alaska.
Healthcare providers and facilities who provide medical services at Providence Kodiak Island Med are required to file.
You can fill out Providence Kodiak Island Med by providing accurate and complete information about the medical services provided.
The purpose of Providence Kodiak Island Med is to maintain accurate records of medical services provided at the facility.
Information such as patient demographics, diagnosis, treatment provided, and billing information must be reported on Providence Kodiak Island Med.
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