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PRINTED: 10/09/2024 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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Locate the section of the form where you need to enter the facility number.
02
Identify the specific field labeled 'Facility Number'.
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01
Health care providers who operate the facility.
02
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04
Patients and their families for identification and records purposes.
05
Insurance companies for billing and claims processing.
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Facility number 000142 is a specific identifier assigned to a facility for regulatory, reporting, or compliance purposes.
Organizations or individuals operating the facility associated with number 000142 are required to file it.
To fill out facility number 000142, follow the instructions provided by the overseeing regulatory body, ensuring all required fields are accurately completed.
The purpose of facility number 000142 is to track compliance, gather data for analyses, and ensure safety or environmental regulations are met.
Information typically required includes facility details, operational data, compliance verification, and any specific metrics outlined by the regulatory authority.
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