Shown below are the details for the item you selected from the list.
| Form # |
CMS 2744B |
| Form Title |
END STAGE RENAL DISEASE MEDICAL INFORMATION SYSTEM ESRD FACILITY SURVEY (TRANSPLANT CENTERS ONLY) |
| Revision Date |
02/01/2004 |
| O.M.B. # |
0938-0447 |
| O.M.B. Expiration Date |
12/31/2009 |
| CMS Manual |
N/A |
| Special Instructions |
To obtain copies of these forms, please contact your End Stage Renal Disease (ESRD) Network (see link below) |
| | | Downloads |
CMS 2744B
| | Related Links Inside CMS |
There are no Related Links Inside CMS
| | Related Links Outside CMS |  |
ESRD Networks
|
|
Last Modified Date : 01/12/2007
Help with File Formats and Plug-Ins
Email
Print