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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:15522802/09/2017FORM
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How to fill out provider number 155228
How to fill out provider number 155228
01
Obtain the required application form for provider number 155228 from the relevant authority.
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Fill out the application form with accurate and up-to-date information.
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Ensure all supporting documents requested are attached to the application form.
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Double check the form for any errors or missing information before submitting it.
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Submit the completed application form to the designated authority and follow up on the status of your application.
Who needs provider number 155228?
01
Healthcare providers who wish to participate in a specific healthcare program or network that requires provider number 155228.
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What is provider number 155228?
Provider number 155228 is a unique identifier assigned to a healthcare provider.
Who is required to file provider number 155228?
Healthcare providers or organizations who are registered with the relevant authority are required to file provider number 155228.
How to fill out provider number 155228?
Provider number 155228 can be filled out by providing the required information in the designated form or online portal.
What is the purpose of provider number 155228?
The purpose of provider number 155228 is to accurately track and identify healthcare providers for administrative and billing purposes.
What information must be reported on provider number 155228?
Provider number 155228 typically requires information such as the provider's name, contact details, specialty, and license information.
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