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19 Jul 2006 ... City, State Zip: Refer to the back of this form to obtain detailed descriptions for each field. NPI Facility Data Collection Form. Return this form by ...
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How to fill out npi facility data collection

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How to fill out NPI facility data collection:

01
Start by gathering all the necessary information about your facility, such as its name, address, contact details, and any other relevant details.
02
Carefully read the instructions provided with the NPI facility data collection form to ensure you understand what information needs to be provided and how it should be formatted.
03
Begin filling out the form by entering your facility's NPI (National Provider Identifier) number. This unique identifier is crucial for accurately identifying your facility.
04
Provide all the required demographic information about your facility, including its location, the type of facility it is (e.g., hospital, clinic, nursing home), and the services it offers.
05
Ensure that you accurately complete all sections of the form, including information about affiliations with other healthcare organizations and any electronic services your facility offers.
06
In the section for disclosing ownership and financial information, provide all the necessary details about the owners, board members, and financial relationships associated with your facility.
07
Double-check all the information you have entered for accuracy and completeness before submitting the form.
08
Any required supporting documentation, such as proof of ownership or financial disclosure forms, should be attached as instructed.
09
Submit the completed NPI facility data collection form to the designated authority or organization responsible for collecting this information.

Who needs NPI facility data collection?

01
Healthcare providers and facilities, such as hospitals, clinics, nursing homes, rehabilitation centers, and private practices, need to complete the NPI facility data collection.
02
Insurance companies and government agencies responsible for healthcare reimbursement and tracking also require this information.
03
Regulatory bodies, accreditation agencies, and other entities involved in healthcare oversight and administration may request NPI facility data collection to ensure compliance and monitor healthcare facilities' performance.
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NPI facility data collection is the process of gathering information about healthcare facilities that have been assigned a National Provider Identifier (NPI) number.
Healthcare facilities that have been assigned an NPI number are required to file NPI facility data collection.
NPI facility data collection can be filled out online through the designated portal using the required information about the healthcare facility.
The purpose of NPI facility data collection is to maintain accurate information about healthcare facilities with NPI numbers for regulatory and transparency purposes.
Information such as facility name, address, type of services provided, contact information, and NPI number must be reported on NPI facility data collection.
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