Certification Statement for Electronic File Interchange Organizations that Submit NPI Data to the National Plan and Provider Enumeration System

Certification Statement for Electronic File Interchange Organizations that Submit NPI Data to the National Plan and Provider Enumeration System (CMS-10175)

OMB: 0938-0984

IC ID: 43676

Documents and Forms

Document Name Document Type
Form CMS-10175 Certification Statement for Electronic File Interchange Organizations that Submit NPI Data to the National Plan and Provider Enumeration System Form and Instruction
CMS-10175 EFI Certification Statement CMS-10175 - Certification Statement for Electronic File Interchange.pdf Form and Instruction