For Provider definition

For Provider. Groups: To warrant that the group has authority to bind all member providers to this Provider Agreement; to provide the Department with names of practitioners in the group with proof of current licensure for each practitioner; to provide name(s) of individual(s) with authority to sign xxxxxxxx on behalf of the group; and to provide each member Provider with a copy of this Agreement.
Sample 1Sample 2Sample 3
For Provider. For ZIRC: Zebrafish International Resource Center University of Oregon Eugene, OR 97403
Sample 1Sample 2
For Provider. Name: Email: For PSTA: Name: Xxxx Xxxxxx Email: XXxxxxx@xxxx.xxx EXHIBIT B INSURANCE POLICY COI ATTACHMENT 1 MAP AREA ATTACHMENT 2 PSTA TRIP DATA LETTER DIRECT CONNECT TRANSPORTATION ALTERNATIVE PROGRAM AGREEMENT THIS DIRECT CONNECT TRANSPORTATION ALTERNATIVE PROGRAM AGREEMENT (“Agreement”) dated as of , 2016 (“Effective Date”) by and between WHEELCHAIR TRANSPORT SERVICE, LLC a Florida limited liability company, with its principal address located 00000 00xx Xxxxxx Xxxxx, Xxxxxxxxxx, Xx 00000 (“Provider”) and the PINELLAS SUNCOAST TRANSIT AUTHORITY, an independent special district of the State of Florida, PSTA located at 0000 Xxxxxxx Xxxxx, St. Petersburg, Florida, (“PSTA”). In consideration of the mutual promises contained herein and the mutual benefits to be derived therefrom, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:
Sample 1

Examples of For Provider in a sentence

  • For Provider Groups Only: The Provider Group affirms that it has authority to bind all member Providers to this Agreement and that it will provide each member Provider with a copy of this Agreement.

  • For Provider, indicate: “Applicant” if the applicant will provide the service directly; “Subrecipient” if a subrecipient will provide the service directly; “Partner” if an organization that is not a subrecipient of project funds but with whom a formal agreement or memorandum of understanding (MOU) has been signed will provide the service directly; or, “Non-Partner” to if a specific organization with whom no formal agreement has been established regularly provides the service to clients.

  • For Provider to provide services to the District it may become necessary for the District to share certain Data related to the District’s students, employees, business practices, and/or intellectual property.

  • All notices or other communications required or provided for by this Agreement shall be sent by electronic mail transmission, United States mail or hand delivery to the representative designated below for each party, or to any such other representative as a party may designate in writing from time to time: For District: «REPRESENTATIVE NAME ADDRESS AND EMAIL» For Provider: « REPRESENTATIVE NAME ADDRESS AND EMAIL» Entire Agreement.

  • The For Provider section is the hub of information for providers, including the latest bulletins, regulatory updates, and training opportunities.

  • Use of restraints or seclusion A provider can file a complaint and/or grievance against AAA 1-B by contacting the Network Management Team, and Participants can file a complaint against provider by contacting the Supports Coordinator (For Provider Complaint/Grievance, refer to section XIX).

  • For Provider administered Claims, the Contractor’s Network Provider shall identify the 340B stock by adding the ‘UD’ modifier after each of the applicable 340B eligible HCPCS code(s) on each Claim line.

  • Applicant’s Signature: Date: Supervising Physician’s Signature: Date: Please return this form to: USA Managed Care Organization, Inc., Attn: Network Development, 0000 Xxx Xxxxx Xxxx, Xxxxx 000, Xxxxxx, Xxxxx 00000 Or by email: xxxxxxxxxxxxxxxxxxxxx@xxxxxx.xxx Contact Sheet For (Provider or Provider Group Name) The following person(s) will be the USA’s contact(s) for the above named provider or provider group.

  • Personal Identification Number Request 19.0.2Certification Statement For Provider Utilizing Electronic Billing 19.0.3 1.0 INTRODUCTION (Rev.

  • For Provider Administered Medications this will include a code and drug name , prescribed dosage, route, frequency and duration and diagnosis code.

Related to For Provider

  • Provider is any individual or company that provides professional or technical services.

  • Telecommunications service provider means that term as defined in Section 219a of the Michigan Penal Code, supra, as may be amended from time to time. As of January 2012, "Telecommunications Service Provider" is defined to mean any of the following:

  • Telecommunications provider means that term as defined in section 102 of the Michigan telecommunications act, 1991 PA 179, MCL 484.2102.

  • Education service provider means an education management organization, school

  • Provider agency means a funded organization under contract with the Children’s Board to deliver and provide social services and supports to children and families of Hillsborough County, FL.

  • Third Party Provider means licensors, subcontractors and suppliers of BNYM furnishing the Third Party Products.