Get Parent Organization Lbn

Filling out the Parent Organization Lbn is a crucial process for health care providers seeking to obtain a unique identifier. This guide aims to assist users in completing the form accurately and efficiently by providing step-by-step instructions tailored for users at all experience levels.

Follow the steps to complete the Parent Organization Lbn form online:

1. Press the ‘Get Form’ button to access the form and open it in your designated editor.
2. Determine if your organization is a subpart. If yes, ensure you complete the Parent Organization Legal Business Name (Lbn) and Parent Organization Taxpayer Identification Number (TIN) fields.
3. In the 'Provider Organization Name (Legal Business Name)' field, enter the official name used for tax purposes, following formatting guidelines for special characters.
4. Fill in the first line of the provider's business mailing address; make sure it does not include a P.O. box.
5. Input the second line of the business mailing address if applicable, followed by the mailing address city, state, and postal code.
6. Complete the country code for the mailing address and include the telephone number associated with the provider's mailing address.
7. Enter the first line of the business practice location address, ensuring to exclude P.O. boxes.
8. Provide the second line of the business practice location address if necessary, followed by the practice location city, state, and postal code.
9. Input the country code for the practice location and the telephone number associated with the practice location.
10. Fill in the 'Provider Enumeration Date' and the 'Last Update Date' to document the timeline of identification.
11. Complete the authorized official's details, including their last name, first name, title or position, and credentials.
12. Fill in the healthcare provider taxonomy code and the associated license number, along with the state in which it was issued.
13. After reviewing all entries for accuracy, save the changes, and proceed to download, print, or share the completed form as needed.

Start completing your Parent Organization Lbn online today!