HCP Information

Health Care Provider (HCP) Information

  • For each HCP affiliated with the application, you may provide, but are not required to, the following information in the HCP Tab of Application:
    • Health care provider name
    • Facility name
    • If the facility is a hospital
    • Street address, city, state, and county
    • FCC Registration Number (FRN)
    • HCP Number
    • Eligibility Type
    • National Provider Identifier (NPI)
    • Total patient population
    • Estimated number of patients to be served by the funding request (and supporting documentation)