INLAND EMPIRE FOUNDATION FOR MEDICAL CARE ALLIED PROVIDER MEMBERSHIP AGREEMENTAllied Provider Membership Agreement • November 4th, 2014
corporation organized under the laws of the State of California, and _ (PROVIDER). This Agreement is not effective until PROVIDER has completed the IEFMC application and submitted supporting documentation to IEFMC, and PROVIDER has received a letter from the IEFMC approving PROVIDER's application.
