Contract with Peoples Health

Contracting With Peoples Health

Providers interested in contracting with Peoples Health should complete the short form below.

Current Peoples Health network providers should email contracting questions or requests to us. We will direct your inquiry to the appropriate representative, who will contact you regarding your request. You can also contact your provider representative for assistance.

Fields marked with an asterisk (*) are required.

Provider Type*

Physician Name *

Practice/Facility Name *

Practice/Facility Street Address *

Practice/Facility City *

Practice/Facility State *

Practice/Facility ZIP *

Practice/Facility TIN *

Practice/Facility Phone *

Email *

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