PROVIDER SERVICE CONTRACTProvider Service Contract • July 24th, 2020 • California
Contract Type FiledJuly 24th, 2020 JurisdictionThis Agreement is made and entered into, as of the Effective Date described below, by and between [Provider Organization], a California nonprofit public benefit corporation hereafter referred to as [dba name], [street address, city, state, zip code] and the health care provider (the “Contractor”) named on the “Service Description/Negotiated Terms & Variations/Signature Page” (the “Signature Page”) attached hereto and incorporated herein by this reference.