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Hospital Statement of Cost OF Page 1 Illinois Department of Public Aid, Office of Health Finance, 201 S. Grand Ave. E., Springfield, IL 62763 General Information PRELIMINARY Name of Hospital: Mercy
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What is name of hospital?
The name of the hospital is the official title by which the medical facility is known.
Who is required to file name of hospital?
The hospital administration or management team is responsible for filing the name of hospital.
How to fill out name of hospital?
The name of the hospital should be filled out on official forms or documents provided by the relevant authorities.
What is the purpose of name of hospital?
The purpose of the name of hospital is to identify the medical facility and distinguish it from other hospitals.
What information must be reported on name of hospital?
The name of the hospital must include the full official title of the medical facility.
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