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PRINTED: 05/10/2022 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION
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How to fill out facility number 012524
01
Step 1: Locate the application form that requires the facility number.
02
Step 2: Find the section designated for facility numbers.
03
Step 3: Enter '012524' in the facility number field.
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Step 4: Double-check the entered number for accuracy.
05
Step 5: Complete any additional required sections of the form.
Who needs facility number 012524?
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Individuals or businesses utilizing services from facility number 012524.
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Regulatory agencies or organizations that require information on specific facilities.
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Emergency responders needing to identify facility locations for safety protocols.
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What is facility number 012524?
Facility number 012524 is a unique identifier assigned to a specific facility for regulatory and reporting purposes.
Who is required to file facility number 012524?
Entities or individuals operating or overseeing a facility identified by number 012524 are required to file.
How to fill out facility number 012524?
To fill out facility number 012524, follow the provided guidelines, ensuring all required information is accurately completed and submitted through the designated platform.
What is the purpose of facility number 012524?
The purpose of facility number 012524 is to facilitate regulatory compliance, safety oversight, and record-keeping for the specific facility.
What information must be reported on facility number 012524?
Information that must be reported includes facility name, address, ownership details, operational activities, and any relevant compliance data.
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