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CMS-10237 CY 2018 Medicare Advantage Facility HSD Table
ICR 201610-0938-011 · OMB 0938-0935 · Object 69092701.
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CY 2018 MA Facility HSD Table SSA State/County Code Facility or Service Type Specialty Code National Provider Identifier (NPI) Number OMB Control Number: 0938-0935 (Expires: TBD) # of Staffed, MedicareCertified Beds Facility Name Provider Service Street Address Provider Service City Provider Service State Provider Service Zip Code Uses CMS MA Contract Amendment (Y or N)
| File Type | application/pdf |
| File Title | HSD Table Templates |
| Author | CGI Federal |
| File Modified | 2016-10-20 |
| File Created | 2016-10-13 |