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PROVIDER CCN: 140095 ST ANTHONY HOSPITAL PERIOD FROM 07/01/2011 TO 06/30/2012KPMG LLP COMPLEX MICRO SYSTEM IN LIEU OF FORM CMS255210 (08/2011)VERSION: 2011.10 11/28/2012 18:16HOSPITAL AND HOSPITAL
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Provider CCN 14-0095 ST refers to a specific provider identification number used in healthcare settings, particularly for hospital services in certain states.
Healthcare providers that offer services under the jurisdiction of the center associated with CCN 14-0095 ST are required to file this form.
To fill out the provider CCN 14-0095 ST, providers should follow the instruction guide provided by the relevant authority, ensuring all required fields are completed accurately including provider details and service information.
The purpose of the provider CCN 14-0095 ST is to collect essential information for compliance, quality measurement, and reimbursement processes within healthcare systems.
The form must report details such as the provider's identification, services offered, patient demographics, and any other compliance-related data as specified by regulatory authorities.
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