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Provider Enrollment
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Regional Home Health & Hospice Intermediary (RHHI)
Where to Send Changes of Information
Palmetto GBA
Part A Provider Enrollment (AG-330)
2300 Springdale Drive, Bldg. One
Camden, SC 29020
Change of Information
....Changes that do NOT require an 855A
....Voluntary Termination
....Change in Management Personnel & Board Members
Section 6
....Delegated Official
....Change of Management Company
....Telephone & Fax Numbers
....Obtaining a CMS 855A
....Other Helpful Hints/Reminders
....Address Changes
....Adding/Deleting an Additional Location
....Stock Transfers
....Authorized Representative
....Home Office
....Where to Send Changes of Information
....Billing Agent
....Change of Name
....Contacting Palmetto GBA about Changes of Information
last updated on 01/21/2010