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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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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.
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Step 5: Complete any additional required sections of the form.

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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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Facility number 012524 is a unique identifier assigned to a specific facility for regulatory and reporting purposes.
Entities or individuals operating or overseeing a facility identified by number 012524 are required to file.
To fill out facility number 012524, follow the provided guidelines, ensuring all required information is accurately completed and submitted through the designated platform.
The purpose of facility number 012524 is to facilitate regulatory compliance, safety oversight, and record-keeping for the specific facility.
Information that must be reported includes facility name, address, ownership details, operational activities, and any relevant compliance data.
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