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State of WyomingCCL300 10/21Department of Family Serviceability VISIT Facility Name: DEB IS DAY CARED ate: 03/10/2020Time: 11:45Provider: Certificate #: 001877Phone: 3075486624Address: 221 EAST Capacity:
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Various individuals and organizations in the healthcare industry may require the 1145 provider certificate 001877. This form may be needed by healthcare providers, such as doctors, hospitals, clinics, or other medical facilities, who intend to participate in specific healthcare programs or receive reimbursements for services provided. Additionally, insurance companies, government agencies, and other entities involved in healthcare administration may also require this certificate from healthcare providers.
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The 1145 provider certificate 001877 is a specific form used by certain healthcare providers to certify their eligibility to participate in government programs.
Healthcare providers who wish to participate in specific government healthcare programs must file the 1145 provider certificate 001877.
To fill out the 1145 provider certificate 001877, you need to provide your identifying information, details about your practice, and any required certifications.
The purpose of the 1145 provider certificate 001877 is to verify the provider's compliance with regulations and eligibility for participation in government healthcare programs.
The information that must be reported includes the provider's name, contact details, practice location, and compliance certifications.
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