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CFR > Title 42 - Public Health > CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES > SUBCHAPTER H—HEALTH CARE INFRASTRUCTURE IMPROVEMENT PROGRAM (parts 505 to 505) > PART 505—ESTABLISHMENT OF THE HEALTH CARE INFRASTRUCTURE IMPROVEMENT PROGRAM > SUBPART A—Loan Criteria (§505.1 to §505.11) > 505.11—Loan application requirements and procedures.

CFR

505.11—Loan application requirements and procedures.

(a) The loan application must be received by CMS no later than 5 p.m. e.d.t. on December 29, 2005.
(b) The requested information must be typed or clearly printed in ink and the loan recipient must mail or deliver an original copy of the loan to CMS. The loan application must contain the following information:
(1) Qualifying hospital's name and street address.
(2) Qualifying hospital's Medicare provider number.
(3) Name, title, and telephone number of a contact person submitting the application.
(4) Provide all appropriate supporting documentation for each answer made on the loan application.
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