Common Contracts
7 similar Payment Plan Agreement contracts
Healthcare & Family Services ADVANCED PAYMENT PLAN AGREEMENTPayment Plan Agreement • October 2nd, 2014
This AGREEMENT is entered into between: St. John's Hospital, provider ID 370661238001, located at: 800 E Carpenter, Springfield, IL 62769 (hereinafter referred to as the PROVIDER) and Healthcare & Family Services (hereinafter referred to as the DEPARTMENT).
Healthcare & Family Services ADVANCED PAYMENT PLAN AGREEMENTPayment Plan Agreement • October 2nd, 2014
This AGREEMENT is entered into between: St. Mary's Hospital, provider ID 362169181001, located at: 111 Spring St, Streator, IL 61364 (hereinafter referred to as the PROVIDER) and Healthcare & Family Services (hereinafter referred to as the DEPARTMENT).
Healthcare & Family Services ADVANCED PAYMENT PLAN AGREEMENTPayment Plan Agreement • October 2nd, 2014
This AGREEMENT is entered into between: St. Margaret's Hospital, provider ID 362167884001, located at: 600 E 1st St, Spring Valley, IL 61362 (hereinafter referred to as the PROVIDER) and Healthcare & Family Services (hereinafter referred to as the DEPARTMENT).
Healthcare & Family Services ADVANCED PAYMENT PLAN AGREEMENTPayment Plan Agreement • October 2nd, 2014
This AGREEMENT is entered into between: Presence St. Mary's Hospital, provider ID 364195126042, located at: 500 West Court Street, Kankakee, IL 60901 (hereinafter referred to as the PROVIDER) and Healthcare & Family Services (hereinafter referred to as the DEPARTMENT).
Healthcare & Family Services ADVANCED PAYMENT PLAN AGREEMENTPayment Plan Agreement • October 2nd, 2014
This AGREEMENT is entered into between: St. Joseph's Hospital, provider ID 371208459001, located at: 9515 Holy Cross Ln #99, Breese, IL 62230 (hereinafter referred to as the PROVIDER) and Healthcare & Family Services (hereinafter referred to as the DEPARTMENT).
Healthcare & Family Services ADVANCED PAYMENT PLAN AGREEMENTPayment Plan Agreement • October 2nd, 2014
This AGREEMENT is entered into between: St. Joseph's Hospital, provider ID 370663568001, located at: 12866 Troxler Ave, Highland, IL 62249 (hereinafter referred to as the PROVIDER) and Healthcare & Family Services (hereinafter referred to as the DEPARTMENT).
Healthcare & Family Services ADVANCED PAYMENT PLAN AGREEMENTPayment Plan Agreement • October 2nd, 2014
This AGREEMENT is entered into between: St. Anthony's Memorial Hospital, provider ID 370661233001, located at: 503 N Maple, Effingham, IL 62401 (hereinafter referred to as the PROVIDER) and Healthcare & Family Services (hereinafter referred to as the DEPARTMENT).
