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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:15557908/09/2017FORM
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How to fill out provider number 155579
How to fill out provider number 155579
01
Gather all required information such as personal details, professional qualifications, and supporting documents.
02
Access the official website of the issuing authority for provider number 155579.
03
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04
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Who needs provider number 155579?
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Healthcare professionals or organizations seeking authorization or recognition from the issuing authority for provider number 155579.
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What is provider number 155579?
Provider number 155579 is a unique identification number assigned to a specific healthcare provider.
Who is required to file provider number 155579?
Healthcare providers who are registered under this specific provider number are required to file it.
How to fill out provider number 155579?
Provider number 155579 should be filled out by entering all the required information accurately and completely as per the guidelines provided.
What is the purpose of provider number 155579?
The purpose of provider number 155579 is to identify and track the activities of the healthcare provider associated with this number.
What information must be reported on provider number 155579?
Information such as services provided, patient data, billing details, and any relevant updates must be reported on provider number 155579.
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