Common Contracts

1 similar Cybhi Fee Schedule Participation Provider Agreement contracts

CYBHI FEE SCHEDULE PARTICIPATION PROVIDER AGREEMENT – LOCAL EDUCATIONAL AGENCIES
Cybhi Fee Schedule Participation Provider Agreement • August 30th, 2024 • California

Date1/10/2025 Legal name of applicant or provider (hereinafter jointly referred to as “Provider”)San Ramon Valley Unified School District Business name (if different than legal name) N/A Provider number (NPI)1790530483 Business Telephone Number( 925 ) 552-2905 Business address (number, street)699 Old Orchard Drive CityDanville StateCA Zip code94526 Mailing address (number, street)699 Old Orchard Drive CityDanville StateCA Zip code94526 Pay-to address (number, street)699 Old Orchard Drive CityDanville StateCA Zip code94526 Taxpayer Identification Number1 68-0273221