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DEPARTMENT OF HEALTH AND HUMAN SERVICES
CENTERS FOR MEDICARE & MEDICAID SERVICES
MEDICARE/MEDICAID CERTIFICATION AND TRANSMITTAL
ID: 4M3S
Facility ID: 00292
PART I TO BE COMPLETED BY THE STATE SURVEY
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What is id 4m3s?
This is an unspecified ID code.
Who is required to file id 4m3s?
The specific individuals or entities designated by the issuer of the ID code.
How to fill out id 4m3s?
The details and instructions on filling out id 4m3s should be provided by the issuer of the ID code.
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The purpose of id 4m3s is determined by the issuer of the ID code.
What information must be reported on id 4m3s?
The specific information required to be reported on id 4m3s should be indicated by the issuer of the ID code.
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