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OMB No. 15450047FormReturn of Organization Exempt From Income TaxIDepartment of the Treasury Internal Revenue Service10×01, 2011, and endingALICE PECK DAY MEMORIAL HOSPITALAddress changeling Business
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What is alice peck day memorial?
Alice Peck Day Memorial Hospital is a non-profit community hospital located in Lebanon, New Hampshire.
Who is required to file alice peck day memorial?
Patients who have received services or treatment at Alice Peck Day Memorial Hospital may be required to submit a memorial form for billing purposes.
How to fill out alice peck day memorial?
Patients can fill out the memorial form either online through the hospital's website or by visiting the billing department in person.
What is the purpose of alice peck day memorial?
The purpose of the memorial form is to accurately bill patients for services received at Alice Peck Day Memorial Hospital.
What information must be reported on alice peck day memorial?
The memorial form typically requires personal information, insurance details, and a breakdown of services received.
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