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Page 1 of 3ISDH Hospital Service Report State Form 49476 (R /702) IC 16216Status: Finalized I. Hospital Information Hospital ST VINCENT SALEM HOSPITAL, INC Name: Provider #: 151314, 15Z314 City: Salem
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Gather all necessary personal information such as your full name, date of birth, address, and contact details.
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St. Vincent Salem Hospital is a healthcare facility located in Salem, Indiana.
The hospital administration or designated personnel are required to file St. Vincent Salem Hospital reports.
To fill out St. Vincent Salem Hospital reports, the required information must be accurately entered in the designated fields.
The purpose of St. Vincent Salem Hospital reports is to provide data on the hospital's operations and patient care.
Information regarding patient admissions, treatments, outcomes, and any incidents must be reported on St. Vincent Salem Hospital reports.
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