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Get Michael Reese Hospital - Www2 Illinois
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How to fill out the Michael Reese Hospital - Www2 Illinois online
This guide provides comprehensive instructions for users to effectively fill out the Michael Reese Hospital - Www2 Illinois form online. It aims to clarify each section and field, ensuring a smooth experience for everyone involved.
Follow the steps to complete the form online.
- Press the ‘Get Form’ button to access the Michael Reese Hospital - Www2 Illinois form and open it in your editor.
- Provide the name of the hospital, which is 'Michael Reese Hospital'. Fill in the street address as '2929 South Ellis Avenue' followed by the city, state, and zip code.
- Indicate the period covered by the statement by entering the start date as '01-01-03' and the end date as '12-31-03'.
- Fill in the Medicare provider number and the public aid provider number as '14-0075' and '3043', respectively.
- Select the type of hospital by checking the appropriate box for control type, such as 'Voluntary Nonprofit', 'Proprietary', or 'Government (Non-Federal)'.
- Complete the sections regarding the type of hospital and health care program as applicable. Specify if you are filling for Medicaid-Hospital or any other specified program.
- Certify your information by typing your name, title, and phone number in the appropriate fields. Ensure that the certification is completed by an authorized officer or administrator of the provider.
- Once all fields are completed, review the form for any errors or omissions. You can then save changes, download, print, or share the form as necessary.
Complete your documents online for better record-keeping and efficiency.
Michael Reese Hospital closed primarily due to financial insolvency and decreasing patient numbers. Additionally, the emergence of newer healthcare facilities in the region made it challenging for the hospital to compete. These factors ultimately led to its permanent closure, reshaping health services in the community.
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