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0938-0391 X2 MULTIPLE CONSTRUCTION A. BUILDING B. WING 155224 NAME OF PROVIDER OR SUPPLIER 09/11/2012 STREET ADDRESS CITY STATE ZIP CODE 621 W COLUMBIA ST COLUMBIA HEALTHCARE CENTER X4 ID PREFIX TAG X3 DATE SURVEY COMPLETED EVANSVILLE IN 47710 SUMMARY STATEMENT OF DEFICIENCIES EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION K 000 INITIAL COMMENTS PROVIDER S PLAN OF CORRECTION EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY ID...
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K 000 is a form used to report information about certain types of income, deductions, and credits.
Taxpayers who have specific types of income or deductions outlined in the form instructions are required to file k 000.
You can fill out k 000 by following the instructions provided with the form. Make sure to report all relevant information accurately.
The purpose of k 000 is to report specific financial information to the IRS for tax purposes.
Income, deductions, and credits as specified in the form instructions must be reported on k 000.
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