| SSA State/County Code | Facility or Service Type | Specialty Code | Medicare Certification Number (MCN) |
National Provider Identifier (NPI) Number |
# of Staffed, Medicare-Certified Beds |
Facility Name | Provider Service Address | |||
| Street Address | City | State | Zip Code | |||||||
| File Type | application/vnd.ms-excel |
| File Title | HSD Table Templates |
| Author | CGI Federal |
| Last Modified By | CMS |
| File Modified | 2010-05-19 |
| File Created | 2009-08-04 |