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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15C000107009/11/2019FORM
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How to fill out advanced surgery center llc
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To fill out the advanced surgery center llc form, follow these steps:
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Start by entering the name of the advanced surgery center llc at the top of the form.
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Provide the complete address of the center, including street, city, state, and zip code.
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Indicate the type of facility the advanced surgery center llc is (e.g., hospital, clinic, outpatient center).
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Specify the date of establishment for the center.
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Include the contact information for the center, such as phone number and email address.
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Provide the names and contact details of the individuals responsible for managing the center.
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Describe the types of surgeries or procedures offered at the center.
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Include any certifications or accreditations the center has obtained.
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Indicate the estimated number of surgeries performed annually.
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Include any additional details or information about the center that may be relevant.
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What is advanced surgery center llc?
Advanced Surgery Center LLC is a limited liability company that specializes in providing advanced surgical procedures.
Who is required to file advanced surgery center llc?
The owners or managers of Advanced Surgery Center LLC are required to file the necessary documentation.
How to fill out advanced surgery center llc?
To fill out Advanced Surgery Center LLC, you will need to provide information about the company's ownership, financials, and any other relevant details.
What is the purpose of advanced surgery center llc?
The purpose of Advanced Surgery Center LLC is to provide high-quality surgical services to patients in need.
What information must be reported on advanced surgery center llc?
Information such as financial statements, ownership details, and operational information must be reported on Advanced Surgery Center LLC.
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