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CMS-855A Medicare Enrollment Application for Institutional Providers

ICR 202305-0938-003 · OMB 0938-0685 · Object 131752200.

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Document Metadata
File Typeapplication/octet-stream
File TitleCMS-855A Medicare Enrollment Application for Institutional Providers
SubjectCMS-855A Medicare Enrollment Application for Institutional Providers
AuthorCenters for Medicare and Medicaid Services
File Modified2023-05-05
File Created2023-02-27
Conversion Statefailed_conversion