| Medical Group Practice Name | National Provider Identifier (NPI) Number | Letter of Intent Filename (Group Level) | Instructions: National Provider Identifier (NPI) Number - individual provider NPIs listed in this column must also be included on the HSD file submission. Letter of Intent Filename (Group Level) - Letter of Intent Filename must include the group level provider or facility name. For example: H0001_Virginia Hospital Center Arlington Health System.pdf |
||||||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |