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PRINTED: 12/22/2021
FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES
CENTERS FOR MEDICARE & MEDICAID SERVICES
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA
IDENTIFICATION
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How to fill out provider number 155581

How to fill out provider number 155581
01
Start by obtaining the necessary application form for provider number 155581 from the relevant regulatory body.
02
Fill out all required personal information accurately, including your name, contact information, and any relevant qualifications or certifications.
03
Provide details about your practice or organization, including location, services offered, and any affiliations.
04
Attach any supporting documents required, such as proof of education, licensure, insurance, or accreditation.
05
Submit the completed application form and supporting documents to the regulatory body for review and processing.
Who needs provider number 155581?
01
Anyone who wishes to provide services within the specific field or sector associated with provider number 155581 would need to obtain this provider number.
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What is provider number 155581?
Provider number 155581 is a unique identifier assigned to a healthcare provider for billing and reporting purposes.
Who is required to file provider number 155581?
Healthcare providers or organizations participating in government or insurance programs typically need to file provider number 155581.
How to fill out provider number 155581?
To fill out provider number 155581, providers should complete the required application or form, providing necessary documentation and details related to their practice.
What is the purpose of provider number 155581?
The purpose of provider number 155581 is to facilitate the identification and tracking of healthcare providers for billing and regulatory compliance.
What information must be reported on provider number 155581?
The information that must be reported includes provider's name, address, specialty, and any relevant licensing or accreditation details.
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