Common Contracts
2 similar Payment Plan Agreement contracts
Healthcare & Family Services ADVANCED PAYMENT PLAN AGREEMENTPayment Plan Agreement • October 2nd, 2014
This AGREEMENT is entered into between: John and Mary E. Kirby Hospital, provider ID 370661215007, located at: 1000 Medical Center Dr, Monticello, IL 61856 (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: John and Mary E. Kirby Hospital, provider ID 370661215007, located at: 1000 Medical Center Dr, Monticello, IL 61856 (hereinafter referred to as the PROVIDER) and Healthcare & Family Services (hereinafter referred to as the DEPARTMENT).
