Common Contracts
2 similar Provider Agreement contracts by Ensign Group, Inc
Provider Agreement Page 1 of 3 IDAHO DEPARTMENT OF HEALTH AND WELFARE MEDICAID PROVIDER AGREEMENT Name and address of individual or entity applying to provide items or services:Provider Agreement • May 5th, 2020
Current or previous provider number for this provider type and specialty: (Does not apply if this is an initial application)
IDAHO DEPARTMENT OF HEALTH AND WELFARE MEDICAID PROVIDER AGREEMENTProvider Agreement • October 19th, 2007 • Ensign Group, Inc • Services-skilled nursing care facilities
Current or previous provider number for this provider type and specialty: (Does not apply if this is an initial application)
