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Protecting,MaintainingandImprovingtheHealthofAllMinnesotansNovember15,2021 Administrator JourdainPerpichExtCareFac 24856HospitalDrive Red lake,MN56671 RE: CCN:245535 CycleStartDate:November15,2021DearAdministrator

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How to fill out 24856 hospital drive

01

Start at the top of the form and enter the name of the hospital in the designated field.

02

Move on to the address section and fill in 24856 hospital drive in the address line.

03

Continue filling out the remaining fields as necessary, such as the city, state, and zip code.

04

Double check all information for accuracy before submitting the form.

Who needs 24856 hospital drive?

01

Patients who need to provide their hospital address for medical records or billing purposes.

02

Healthcare providers who need to list the hospital address on official documents or referrals.

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What is 24856 hospital drive?

24856 hospital drive is the address of a specific hospital.

Who is required to file 24856 hospital drive?

The hospital administration or management is required to file 24856 hospital drive.

How to fill out 24856 hospital drive?

24856 hospital drive can be filled out by providing the necessary information about the hospital, its operations, and any other required details.

What is the purpose of 24856 hospital drive?

The purpose of 24856 hospital drive is to gather information about a hospital's location and operations for regulatory or informational purposes.

What information must be reported on 24856 hospital drive?

Information such as the hospital's name, address, contact information, services provided, and any other relevant details may need to be reported on 24856 hospital drive.

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