Common Contracts

3 similar Network Participation Agreement contracts

NETWORK PARTICIPATION AGREEMENT
Network Participation Agreement • October 24th, 2012 • Louisiana

THIS NETWORK PARTICIPATION AGREEMENT (“Agreement”) is entered into on the date(s) indicated below, by and between the undersigned physician (hereinafter “Physician”; and for purposes of this Agreement “Physician” shall be deemed to apply to any individual Physician as well as the entity or group which employs or otherwise contracts with Physician for the provision of health services) and Gulf South Quality Network, L.L.C. (“GSQN”).

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NETWORK PARTICIPATION AGREEMENT
Network Participation Agreement • October 24th, 2012 • Louisiana

THIS NETWORK PARTICIPATION AGREEMENT (“Agreement”) is entered into on the date(s) indicated below, by and between the undersigned physician (hereinafter “Physician”; and for purposes of this Agreement “Physician” shall be deemed to apply to any individual Physician as well as the entity or group which employs or otherwise contracts with Physician for the provision of health services) and Gulf South Quality Network, L.L.C. (“GSQN”).

NETWORK PARTICIPATION AGREEMENT
Network Participation Agreement • August 5th, 2012 • Louisiana

THIS NETWORK PARTICIPATION AGREEMENT (“Agreement”) is entered into on the date(s) indicated below, by and between the undersigned physician (hereinafter “Physician”; and for purposes of this Agreement “Physician” shall be deemed to apply to any individual Physician as well as the entity or group which employs or otherwise contracts with Physician for the provision of health services) and Gulf South Quality Network, L.L.C. (“GSQN”).

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