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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15567701/03/2014FORM
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Provider number 155677 is a unique identifier assigned to a specific healthcare provider.
Healthcare providers who are enrolled in a specific program or network may be required to file provider number 155677.
Provider number 155677 can be filled out by entering the required information, such as name, address, and services provided, into the designated fields.
The purpose of provider number 155677 is to track and identify individual healthcare providers for billing and administrative purposes.
Information such as the provider's name, contact information, services provided, and billing details must be reported on provider number 155677.
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