SSA State/County Code Facility or Service Type Specialty Code Medicare National Provider Certification Number Identifier (NPI) Number (MCN) # of Staffed, MedicareCertified Beds Facility Name Provider Service Street Address Provider Service City Provider Service State Provider Service Zip Code
| File Type | application/pdf |
| File Title | HSD Table Templates |
| Author | CGI Federal |
| File Modified | 2011-10-18 |
| File Created | 2011-10-18 |