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1200 North Beaver Street Flagstaff, AZ 86001 9287732053 9287732434 FAX 18002321018SCC Intake Information Bold items indicate essential information. Comprehensive intake information helps us to start
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What is flagstaff medical center 1200?
Flagstaff Medical Center 1200 is a form used for reporting certain medical information, such as patient demographics and services provided.
Who is required to file flagstaff medical center 1200?
Healthcare providers and facilities are required to file Flagstaff Medical Center 1200.
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Flagstaff Medical Center 1200 can be filled out electronically or manually, following the instructions provided on the form.
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The purpose of Flagstaff Medical Center 1200 is to collect and report medical data for regulatory and billing purposes.
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Information such as patient name, date of birth, medical services provided, and insurance details must be reported on Flagstaff Medical Center 1200.
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