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Health Financial Systems MCRIF32 FOR SULLIVAN COUNTY COMMUNITY HOSPITAL IN LIEU OF FORM CMS255296(04/2005) PREPARED 5/14/2010 9:56 FORM APPROVED OMB NO. 09380050 THIS REPORT IS REQUIRED BY LAW (42
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Sullivan County Community Hospital is a healthcare facility located in Sullivan County, Indiana.
Healthcare providers and facilities within Sullivan County or those providing services to residents of Sullivan County are required to file information with Sullivan County Community Hospital.
You can fill out Sullivan County Community Hospital reports by providing information on patients, services provided, and any other relevant data requested by the hospital.
The purpose of Sullivan County Community Hospital is to provide healthcare services to the residents of Sullivan County and maintain accurate records of patient care.
Information reported to Sullivan County Community Hospital may include patient demographics, medical history, treatments provided, and billing information.
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2009 2010 Washington mcr SULLIVAN CNTRS MCRIF32 SettingsbkdDesktopSullivan CMS-2552-96 HHA XIX SRVC SNF RECLASS CFR XVIII WKST OUTPAT ASC NF ELECTROCARDIOLOGY ELECTROENCEPHALOGRAPHY SUBPROVIDER mvble REIMBURS INPAT REIMBURSABLE CMS WRKSHT RECLASSIFICATION

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