Document
Attachment 89 – MPC Hospital Provider Authorization Form Package, Point of Contact for Medical Records
ICR 202401-0935-001 · OMB 0935-0118 · Object 138502801.
This document may belong to an older filing. More recent activity for OMB 0935-0118:
Document Viewer [doc]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is queued and waiting for the next worker pass. (priority 140 · next 2026-06-01 23:46:15)
Missing: html
Download: Source copy (doc)
Loading document viewer…
Document Metadata
| File Type | application/msword |
|---|---|
| File Title | Attachment 89 – MPC Hospital Provider Authorization Form Package, Point of Contact for Medical Records |
| Author | jstockdale |
| Last Modified By | Dowd, Kathryn L. |
| File Modified | 2015-08-30 |
| File Created | 2015-08-30 |
| Conversion State | partial |