Provider Contract Sample Contracts

Contract
Provider Contract • May 30th, 2018

PROVIDER CONTRACT SMLOUVA SE ZDRAVOTNICKÝM ZAŘÍZENÍM This contract (hereinafter “the Contract”) is Tato smlouva (dále jen „Smlouva“) byla made by and between: uzavřena mezi následujícími stranami: Městská nemocnice Ostrava, Contributory Městská nemocnice Ostrava, příspěvková Organization, having a place of business at organizace, se sídlem Nemocniční 898/20A, Ostrava-Moravská Nemocniční 898/20A, Ostrava-Moravská Ostrava, Postcode 72880, Czech Republic, Ostrava, PSČ 72880, Česká republika IČ: Identification number: 00635162, Tax 00635162, DIČ: CZ00635162. identification number: CZ00635162. Hereinafter the “PROVIDER” dále jen „POSKYTOVATEL“, AND A Quintiles Czech Republic, s.r.o., having a Quintiles Czech Republic, s.r.o., se sídlem place of business at Praha 5, Jinonice, v Praze 5 – Jinonicích, Radlická 714/113a, Radlická 714/113a, zip code 158 00 Prague, PSČ 158 00, Česká republika, IČ: 247 68 651, Czech Republic, Identification number: 247 68 DIČ: CZ24768651, 651, Tax identification

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SCHOOL-BASED MEDICAID PROGRAM
Provider Contract • January 29th, 2019 • Massachusetts

This Contract, effective is hereby amended and restated effective July 1, 2019, and is by and between the Commonwealth of Massachusetts Executive Office of Health and Human Services (hereinafter, “EOHHS”), with a business address of One Ashburton Place, Boston, Massachusetts 02108 and , (the legal name of the School- Based Medicaid Provider, hereinafter, the “Provider”) with a principal place of business located at

PROVIDER CONTRACT
Provider Contract • January 5th, 2023

(Name of child) and in doing so provide the kinship caregiver with a short break. Services may include helping the child or children participate in activities in and outside of the home, such as recreation and leisure activities, the development of new skills, and managing personal care needs. It is expected that the respite provider will assist the child/children in a positive manner that keeps them safe. There may be other duties/activities that are required from time to time. At no time will the respite provider leave the child or children alone.

Provider Contract
Provider Contract • January 7th, 2023

This Employment Contract (this "Contract") is made effective as of 01/10/23 by and between Honour Brite LLC DBA Eustasis (hereinafter referred to as “company”) of 1505 W Bradford Parkway and/or 3600 S. National Ave, Springfield, MO 65807/4, and/or 5548 N. Farmer Branch, Ozark, MOand/or 2000 S. Promenade, 2nd Floor, Rogers, Arkansas 72758 (hereinafter referred to as “Company”) or any other locations further added as Eustasis Psychiatric and Oluwatobi Aruwajoye APRN, NP or

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