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Medical Supplier (DME) Inventory

Medical Supplier (DME) Inventory Form

  • The following information will help us to better connect patients with appropriate care providers. Questions about this form may be submitted to Contracting@ProviDRsCare.Net.
  • (If multiple Tax IDs, please complete a form for each Tax ID)
  • Supplies Inventory

    Please indicate the types of supplies currently offered.
  • Max. file size: 256 MB.
  • Contact Information

    Questions or requests for additional inventory information will be directed to the contact listed below.