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Get and Sign Cms 671 Form 2018-2022

Get and Sign Cms 671 Form 2018-2022

Use a cms 671 2018 template to make your document workflow more streamlined.

Based? F10 ........................ 01 Skilled Nursing Facility (SNF) - Medicare Participation 02 Nursing Facility (NF) - Medicaid Participation 03 SNF/NF - Medicare/Medicaid Ownership: F12 For-Profit 01 Individual 02 Partnership 03 Corporation Yes No If yes, indicate Hospital Provider Number: F11 Non-Profit 04 Church Related 05 Nonprofit Corporation 06 Other Nonprofit Government 07 State 08 County 09 City 10 City/County 11 Hospital District 12 Federal Owned or leased by Multi-Facility...
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cms-671 06 2018

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