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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: St.
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What is name of hospital?
The name of the hospital is the official designation of the medical facility.
Who is required to file name of hospital?
The hospital administration or management is responsible for filing the name of the hospital.
How to fill out name of hospital?
The name of the hospital should be filled out on the designated form provided by the regulatory authorities.
What is the purpose of name of hospital?
The purpose of the name of the hospital is to uniquely identify the medical facility for regulatory and administrative purposes.
What information must be reported on name of hospital?
The name of the hospital must include the full official name of the institution as well as any affiliated entities.
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