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Complete the Application for Registration as a Nursing Home Administrator, ensuring all sections are filled and notarized according to NYS guidelines.
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What is doh-642?
DOH-642 is a form used for reporting health care provider/health care facility charges and services.
Who is required to file doh-642?
Health care providers and health care facilities are required to file DOH-642.
How to fill out doh-642?
DOH-642 can be filled out electronically or manually, following the instructions provided by the Department of Health.
What is the purpose of doh-642?
The purpose of DOH-642 is to collect data on health care provider and facility charges and services for analysis and planning purposes.
What information must be reported on doh-642?
Information such as charges for services, number of patients served, and types of services provided must be reported on DOH-642.
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