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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15508909/29/2017FORM
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Who needs provider number 155089?
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Healthcare professionals or facilities seeking to bill for services using provider number 155089.
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What is provider number 155089?
Provider number 155089 is a unique identification number assigned to a specific healthcare provider for billing and identification purposes.
Who is required to file provider number 155089?
Any healthcare provider or facility that offers services covered under certain healthcare programs must file using provider number 155089.
How to fill out provider number 155089?
To fill out provider number 155089, you need to provide specific information requested on the relevant forms, including personal identification details, service information, and billing codes.
What is the purpose of provider number 155089?
The purpose of provider number 155089 is to facilitate the identification, billing, and tracking of healthcare services provided to patients under healthcare programs.
What information must be reported on provider number 155089?
Information that must be reported includes the provider's name, address, contact information, type of services provided, and any relevant licensing information.
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