Riverbend

CMS 2540-96

Form CMS 2540-96 must be completed by all skilled nursing facilities (SNFs) and SNF health care complexes in determining program reimbursement. Should you have questions about the submission and/or acceptance of Form CMS 2540-96 you may contact one of the following people:

Providers serviced by the Tennessee Office:

Valarey Brock
(423) 535-3512

Helen Chamberlain
(423) 535-6478

Ron Neal
(423) 535-3824