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KPMG LLP Complex 255210 WESTLAKE COMMUNITY HOSPITAL Provider CCN: 140240In Lieu of Form CMS255210Period : From: 07/01/2017 To: 06/30/2018Run Date: 11/20/2018 Run Time: 12:06 Version: 2018.04 (09/26/2018)HOSPITAL
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Provider CCN 14-0240 refers to a specific provider identifier used in the healthcare system, particularly for billing and claim submission purposes.
Healthcare providers who deliver services under Medicare or Medicaid and need to submit claims or reports using this specific provider identifier are required to file provider CCN 14-0240.
To fill out provider CCN 14-0240, providers must complete the required fields accurately, including their identification information, service details, and billing information as specified by the regulatory guidelines.
The purpose of provider CCN 14-0240 is to identify and track healthcare providers within federally funded programs to ensure proper billing, accountability, and compliance with healthcare regulations.
Information that must be reported on provider CCN 14-0240 includes the provider's name, address, Tax Identification Number (TIN), National Provider Identifier (NPI), and details of services provided.
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