Provider Unit / Hospital Department / Primary Hospital / NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND HOSPITAL / Group Name Office / Council for Affordable Quality Healthcare / State Professional Licensure Board / Medicare / /
Person
Questionnaire / / /
Position
physician / Program Director / Program Director Current Program Director / Manager / Physician Assistant / supervising physician / Director Current / Nurse / malpractice insurance face sheet Physician Assistant / /
NEIGHBORHOOD HEALTH PLAN OFRHODE ISLAND CREDENTIALING PRACTITIONER APPLICATION Neighborhood accepts the Council for Affordable Quality Healthcare (CAQH) application in lieu of Neighborhood’s standard credentialing appl