OMB Number: 0915-0366; Expiration date: XX/XX/202X
Entities Survey: Module 25
Number of questions: 4
Authorized Agents: Query Related Demographics
Q 25.1. For how many organizations did your agency provide NPDB querying services between January 2018 and December 2020?
Type a number: ________
Do not know (please explain) _________
Q 25.2. What is the average number of NPDB queries that your organization made per month between January 2018 and December 2020?
Please enter a number: _______
Q 25.3. For how many practitioners do you typically query per month?
Type a number: ___
Q 25.4. For what types of organizations did your organization provide querying services between January 2018 and December 2020? (Please select all that apply.)
Hospital or Hospital System
Health Plan
Other Health Care Entities (e.g., Group Practice, Community Health Center, Clinic, Urgent Care or Ambulatory Health Care Facility or another health care organization that is not a hospital)
Professional Society
State Licensing Board or State Certification Authority
Federal Licensing Agency
Federal or State Prosecutor (including Attorney General)
Other State Agency
Other Federal Agency
Other (Please Explain)__________
Piping Logic:
Survey will be directed to Module 26 next.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Microsoft User |
| File Modified | 0000-00-00 |
| File Created | 2021-02-15 |