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Taxpayer Identification Number Request (W-9)

Providers should complete this form when solo practitioners change their legal name, providers change their legal business name or providers change their pay to address. Return the completed form to HNFS.


TRICARE West Finance
PO Box 202111
Florence, SC 29502-2111


Network Providers: 1-844-836-5818
Non-Network Providers: 1-844-730-1373

  • Created: Aug 1, 2022
  • Modified: Jan 3, 2019
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