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State of Wyoming Department of Health: 3077777123 Aging Division Fax: 3077777127 Healthcare Licensing and Surveys Web: https://www.health.wyo.gov/aging/hls Hathaway Bldg, Suite 510 Email: wdhohls@wyo.gov
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Start by gathering all necessary information such as personal details, contact information, credentials, and relevant documents.
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Wait for confirmation or further instructions from the relevant authority.

Who needs initial new provider or?

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Healthcare facilities looking to add a new healthcare provider to their team.
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What is Initial (New) Provider or Change in Ownership$1,000 Form?

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The initial new provider or is a form that must be filed by new healthcare providers to enroll with insurance companies and government programs.
Healthcare providers who are new to practice or who are enrolling with insurance companies or government programs are required to file the initial new provider form.
The initial new provider form can be filled out online or submitted by mail. It requires information such as provider name, contact information, specialty, and billing details.
The purpose of the initial new provider form is to establish a new healthcare provider's credentials with insurance companies and government programs.
The initial new provider form requires information such as provider name, contact details, specialty, billing information, and any relevant certifications or licenses.
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