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CMS Name and Address Listing For Rural Health Clinic Based on Current Survey Maine Last Update: 07/28/2012-Page 1 of 2 Provider Number Provider Name Address City, State and ZIP Telephone Number County

How to fill out cms name and address

How to fill out CMS name and address:

1. Start by locating the designated field on the CMS form where you are required to provide your name and address. This is usually found in the header or in a specific section of the form.
2. Enter your full legal name in the provided space. Make sure to write your name exactly as it appears on official documents. Avoid using nicknames or abbreviations unless explicitly mentioned.
3. Move on to filling out your address. Begin by providing your street address in the appropriate field. Include the building number, street name, and any apartment or unit number if applicable.
4. Next, enter your city or town name. Ensure that you spell it correctly and use the proper capitalization.
5. Following the city or town, indicate your state or province. For international addresses, specify the appropriate region or territory.
6. Provide the ZIP code or postal code corresponding to your location. Double-check to ensure accuracy, as this information is crucial for proper mail delivery.
7. If required, input additional address information such as a PO Box number or any specific delivery instructions.
8. Review all the entered details to ensure accuracy and completeness before submitting the form.
9. After filling out the CMS name and address, proceed with any additional information or sections required on the form, following the provided instructions.

Who needs CMS name and address:

1. Individuals applying for government benefits or services may need to provide their CMS name and address. This information helps establish their identity and facilitates communication.
2. Healthcare providers who deal with government programs, such as Medicare or Medicaid, must also include their CMS name and address on relevant forms. This ensures accurate billing and record-keeping.
3. Organizations or businesses participating in government contracts, grants, or programs may be required to disclose their CMS name and address for administrative and regulatory purposes.
4. Any individual or entity required to submit official documents or correspondence to government agencies may need to include their CMS name and address. This helps ensure proper delivery and identification.

For pdfFiller’s FAQs

What is cms name and address?

CMS stands for Centers for Medicare & Medicaid Services which is located at 7500 Security Blvd, Baltimore, MD 21244.

Who is required to file cms name and address?

Healthcare providers, suppliers, and organizations who participate in the Medicare and Medicaid programs are required to file CMS name and address.

How to fill out cms name and address?

To fill out CMS name and address, you need to provide accurate information about your organization including the legal name, address, contact details, and relevant identifiers.

What is the purpose of cms name and address?

The purpose of CMS name and address is to ensure accurate and up-to-date information about healthcare providers and organizations participating in Medicare and Medicaid programs.

What information must be reported on cms name and address?

The information reported on CMS name and address includes legal name, address, contact details, and any other relevant identifiers.

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