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08/14/2023PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION
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Provider number 155673 is typically needed by individuals or organizations who want to become a registered provider in a specific field. This could include healthcare professionals, service providers, or businesses in industries that require registration or licensing.
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Provider number 155673 is a unique identifier assigned to a specific healthcare provider for billing and administrative purposes.
Healthcare providers, such as physicians, hospitals, and clinics, who participate in government health programs or insurance networks are required to file provider number 155673.
To fill out provider number 155673, providers must complete the standard application form provided by the governing health authority, ensuring all required fields are accurately filled in with relevant information.
The purpose of provider number 155673 is to streamline billing processes, validate provider identities, and facilitate the tracking of healthcare services for accountability and reporting.
Providers must report information such as their legal name, business address, contact information, types of services offered, and tax identification number associated with provider number 155673.
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