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CMS-10237 CMS-10237_MA_Facility_Table_2013
ICR 201111-0938-003 · OMB 0938-0935 · Object 28464201.
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0935 can be found here:
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SSA State/County Code Facility or Service Type Specialty Code Medicare National Provider Certification Number Identifier (NPI) Number (MCN) # of Staffed, MedicareCertified Beds Facility Name Provider Service Street Address Provider Service City Provider Service State Provider Service Zip Code
| File Type | application/pdf |
| File Title | HSD Table Templates |
| Author | CGI Federal |
| File Modified | 2011-10-18 |
| File Created | 2011-10-18 |