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2018 Annual Hospital Questionnaire Part A : General Information 1. Identification:HOSP420Facility Name: St. Mary\'s Good Samaritan Hospital County: Greene Street Address: 5401 Lake Ocoee Parkway City:
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Locate the section on the form that asks for the facility name.
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Facility name st is the name of the facility that is being referred to or identified.
The person or entity responsible for the facility must file the facility name st.
Facility name st can be filled out by providing the name of the facility in the designated field.
The purpose of facility name st is to accurately identify the facility being referenced or discussed.
Only the name of the facility is required to be reported on facility name st.
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