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Add an Additional Location

After selecting an answer, please complete the required forms and information inputs below.

Please attach a Facility Add Form

(10 Digits)
This is the location name that will display in the provider directory. We recommend using the name that patients are familiar with and will likely search for on the provider directory for this address.
This is the location name that will display in the provider directory. We recommend using the name that patients are familiar with and will likely search for on the provider directory for this address.

Location Office Hours

Please list your office hours for each day of the week, Monday through Sunday

Enrolling Practioners 

After adding your location information, please navigate back and go through the Add Provider to Group section.