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Complex 255210LLP ELMHURST MEMORIAL HOSPITAL Provider CCN: 140200In Lieu of Form CMS255210Period : From: 07/01/2013 To: 06/30/2014Run Date: 11/24/2014 Run Time: 10:20 Version: 2014.10HOSPITAL AND
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Start by gathering all the required information and documents for filling out the provider ccn 14-0200 form.
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Begin the form by providing your personal information, including your name, address, contact details, and any other necessary details.
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Fill in the specific details related to your role and organization as a provider.
04
Provide any required information regarding the services you offer, including the type of services, target population, and any related certifications or qualifications.
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Who needs provider ccn 14-0200?
01
Any individual or organization that intends to provide specific services and requires official recognition or certification may need to fill out the provider ccn 14-0200 form. This includes service providers in various industries such as healthcare, education, social services, and more.
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What is provider ccn 14-0200?
Provider CCN 14-0200 refers to a specific Centers for Medicare & Medicaid Services (CMS) identification number assigned to health care providers for billing and regulatory purposes.
Who is required to file provider ccn 14-0200?
Health care providers that participate in Medicare and deliver services covered by the program are required to file provider CCN 14-0200.
How to fill out provider ccn 14-0200?
To fill out provider CCN 14-0200, individuals should gather the required information regarding their services, complete the necessary forms through the CMS online system, and ensure compliance with all specified guidelines.
What is the purpose of provider ccn 14-0200?
The purpose of provider CCN 14-0200 is to uniquely identify health care providers and facilitate the processing of claims and reimbursement from Medicare.
What information must be reported on provider ccn 14-0200?
Information required on provider CCN 14-0200 includes provider name, address, services provided, tax identification number, and other relevant details that define the provider's operation.
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