Common Contracts

1 similar Allied Provider Membership Agreement contracts

INLAND EMPIRE FOUNDATION FOR MEDICAL CARE ALLIED PROVIDER MEMBERSHIP AGREEMENT
Allied Provider Membership Agreement • November 4th, 2014

corporation organized under the laws of the State of California, and _ (PROVIDER). This Agreement is not effective until PROVIDER has completed the IEFMC application and submitted supporting documentation to IEFMC, and PROVIDER has received a letter from the IEFMC approving PROVIDER's application.

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