Common Contracts

JERSEY SHORE UNIVERSITY MEDICAL CENTER, A DIVISION OF MERIDIAN HOSPITALS CORPORATION PARTICIPATING THIRD PARTY PROVIDER AGREEMENT THIS PARTICIPATING THIRD PARTY PROVIDER AGREEMENT (the “Agreement”)

Participating Third Party Provider Agreement • December 2nd, 2013 • New Jersey

• Contract Type
  Participating Third Party Provider Agreement
• Filed
  December 2nd, 2013
• Jurisdiction
  New Jersey

is made as of the 25th day of November, 2013 (the “Effective Date”) by and among Jersey Shore University Medical Center, a Division of Meridian Hospitals Corporation (“JSUMC”) and the practice identified on the signature page hereof (the “Practice”) and physician(s) (“Physician” or “Participating Physician”) identified on Exhibit A. JSUMC, the Practice and the Participating Physician are the “Parties,” and each is a “Party.”