Premier Health Care Management
Answer the following questions so we can start the application process. Please allow 3-4 weeks to be credentialed after the agreement is signed. Once answers are submitted, we will send over agreement to electronically sign.
How did you hear about Borrego Health Foundation and Premier Health Care Management?
Your answer
Are you currently accepting Medi-Cal patients? *
What is your exact business name registered with the Secretary of State business website? (ex: John H Smith DDS Inc, a Dental Corporation) *
Your answer
What is the address of your practice? *
Your answer
What is your business phone number? *
Your answer
What is the business email address?
Your answer
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