Menu
PH: (800) 801-9772 | (316) 683-4111
© Copyright 2020: ProviDRs Care

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.
  • Contact Information

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