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PRINTED: 04/10/2018 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:ST VINCENT HOSPITAL & HEALTH SERVICES
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To fill out facility number 005075, follow these steps:
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Start by entering the facility number in the designated field.
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Make sure to double-check the number for accuracy before proceeding.
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Once the facility number is entered, move on to the next required fields, such as name, address, and contact information.
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Who needs facility number 005075?

01
Facility number 005075 is needed by individuals or organizations who are associated with or are responsible for the aforementioned facility.
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This could include facility managers, government agencies, inspectors, or any other parties involved in the maintenance, oversight, or regulation of the facility.
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Facility number 005075 is a unique identifier for a specific facility.
The entity or individual responsible for the operation of the facility is required to file facility number 005075.
Facility number 005075 must be filled out according to the instructions provided by the governing authority.
The purpose of facility number 005075 is to track and monitor the activities of the specific facility.
Information such as operational details, environmental impact, and compliance status must be reported on facility number 005075.
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