Common Contracts
1 similar Participating Provider Agreement contracts
PARTICIPATING PROVIDER AGREEMENTParticipating Provider Agreement • February 23rd, 2016 • New York
This agreement (the “Agreement”), effective , is entered into by and among Crystal Run Health Plan, LLC and Crystal Run Health Insurance Company, Inc., each with a corporate address of 109 Rykowski Lane, Middletown, NY 10941 (hereafter referred to collectively as “Crystal Run”) and (“Provider”), with an address of
