PROVIDER ENROLLMENT REQUIRED DOCUMENTS CHECKLIST DEPARTMENT OF HUMAN SERVICES MEDICAL SERVICES DIVISION DN[removed]The following documents are needed to finalize your enrollment. - Finalize - Document - PDFSEARCH.IO

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	PROVIDER ENROLLMENT REQUIRED DOCUMENTS CHECKLIST DEPARTMENT OF HUMAN SERVICES MEDICAL SERVICES DIVISION DN[removed]The following documents are needed to finalize your enrollment. Add to Reading List Document Date: 2014-03-28 14:39:34 Open Document File Size: 563,29 KB Share Result on Facebook Company Critical Access Hospitals / Home Health / Psychiatric Residential Treatment Facilities / Nursing Homes / / / Facility Pharmacy Agreement/Medical Assistance Program / / / IndustryTerm secure site / transportation providers / bank account / / Organization Division Office / DD Division / Department of Human Services / Internal Revenue Service / County Social Service Office / Medicare / / / Position Driver / ND Secretary / Governor / Secretary of State / Program Administrator / / ProvinceOrState North Dakota / / URL www.nd.gov/eforms / / SocialTag Identifiers National Provider Identifier Health Government Medicaid Medical record Medicare Medicine Federal assistance in the United States Healthcare reform in the United States

PROVIDER ENROLLMENT REQUIRED DOCUMENTS CHECKLIST DEPARTMENT OF HUMAN SERVICES MEDICAL SERVICES DIVISION DN[removed]The following documents are needed to finalize your enrollment.Add to Reading List