Facility Name
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The name of the new facility. This is a required field.
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Contact Last Name
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The last name of the contact person at the new facility.
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Contact First Name
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The first name of the contact person at the new facility.
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Facility Type
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The type of facility. The drop down box for this field includes several choices including hospital, medical equipment company, pharmacy, etc.
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Facility Association
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The association can be internal or external. Internal is the main building of a practice that may have many facilities. External is any facility that is associated with the practice but is not the main building of the practice.
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Parent Facility
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If the new facility is has an external association, the parent facility should be included. The drop down box contains a list of all existing facilities in HPN Chart.
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Specialty
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If a medical office, please include the specialty of the office. The drop down list contains a list of all the specialties listed in HPN Chart. New specialties can be added in the Manage Specialty List.
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Mailing Address
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The mailing address of the new facility.
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City
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The city of the new facility.
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State
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The state of the new facility.
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Zip Code
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The zip code of the new facility.
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Primary Phone
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The primary phone number of the new facility.
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Secondary Phone
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Fax
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EDI Modem
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Email
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Logo Path
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