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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CIA AND PLAN OF CORRECTION IDENTIFICATION NUMBER: 15G658

How to fill out facility number 001195

How to fill out facility number 001195:

1. Start by locating the form or document that requires the facility number 001195. This number is usually provided by the organization or entity that is requesting the information.
2. Carefully read the instructions or guidelines provided along with the form. These instructions will guide you on how to correctly fill out the facility number.
3. Begin by entering the facility number 001195 in the designated field or box on the form. Ensure that you write or type the number accurately to avoid any errors.
4. Double-check the form to ensure that all other required fields are filled out correctly. Make sure to provide any additional information or documentation that may be necessary.
5. Once you have filled out all the required fields and attached any necessary documents, review the form one final time for accuracy and completeness.
6. Sign and date the form in the appropriate section, if required. Some forms may also require the signature of a supervisor or authorized individual.
7. After completing these steps, submit the form as instructed by the requesting organization or entity. This may involve mailing, faxing, or submitting the form electronically.

Who needs facility number 001195:

1. Organizations or businesses that require a facility number for identification purposes may need facility number 001195. This could include government agencies, educational institutions, healthcare facilities, or any other entity that operates multiple facilities or locations.
2. Individuals or departments within an organization that manage or oversee specific facilities may also need facility number 001195. This can help differentiate between different facilities and track their activities and performance.
3. Contractors or service providers who are contracted to work with or provide services to a specific facility may need to reference facility number 001195 in their documentation or communications. This helps ensure clarity and accuracy when identifying the specific facility they are working with.

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What is facility number 001195?

Facility number 001195 represents a specific location or establishment that has been assigned this unique identifier.

Who is required to file facility number 001195?

The entity or individual responsible for the operations at facility number 001195 is required to file the necessary documentation.

How to fill out facility number 001195?

To fill out facility number 001195, one must provide accurate and up-to-date information regarding the operations and activities taking place at that particular facility.

What is the purpose of facility number 001195?

The purpose of facility number 001195 is to track and monitor the activities and compliance of the entity or individual associated with that specific location or establishment.

What information must be reported on facility number 001195?

Information such as operational details, safety measures, environmental impact, and any relevant updates must be reported on facility number 001195.

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