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PRINTED: 04/01/2015 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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North Logan Healthcare Center is a healthcare facility that provides medical services to patients in the North Logan area.
Healthcare providers and facilities operating in North Logan are required to file North Logan Healthcare Center.
The North Logan Healthcare Center form can be filled out online or submitted in person at the designated location.
The purpose of North Logan Healthcare Center is to collect and report medical information of patients seen by healthcare providers in North Logan.
Information such as patient demographics, medical history, diagnosis, treatments, and outcomes must be reported on North Logan Healthcare Center.
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