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PRINTED: 11/01/2017 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 complaint number in00195823, provide detailed information about the complaint, including date, time, location, parties involved, and any supporting evidence.
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The purpose of complaint number in00195823 is to document and address complaints or concerns raised by individuals or organizations.
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The information that must be reported on complaint number in00195823 includes details of the complaint, any related documents or evidence, and contact information for the complainant.
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