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HEALTHCARE CONNECT FUND COMBINED LETTER OF AGENCY TEMPLATE FOR FCC FORMS 460, 461, 462 AND 463 Healthcare Connect Fund LOA Administrative Guidance All submitted LOAs must meet the following requirements:
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Document Date: 2014-01-23 09:29:20


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Company

State Street / Healthcare Connect Fund / Universal Service Administrative Company / /

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Event

Business Partnership / /

Facility

Bayside Clinic / Memorial Health System / /

IndustryTerm

healthcare education / Internet Access Program / physical site / health systems / healthcare / requested services / /

OperatingSystem

Microsoft Windows / /

Organization

office of MaineCare Services Dawn R. Gallagher / Healthcare Provider / DHHS office of State / Federal Communications Commission / Department of Health and Human Services / /

Person

Dawn R. Gallagher / /

Position

Combined LOAs Allowed The Consortium Leader / officer / director / Consortium Leader / Director / State Health Information Technology Initiatives Program / Coordinator / director / officer / Administrator / /

ProvinceOrState

Maine / /

Technology

Information Technology / /

SocialTag