Join Our Network

Thank you for your interest in joining the Mount Carmel MediGold provider network. Complete and submit the form below to begin the contracting process. To reduce any delays in the process, please make sure that all information (including your email address) is correct before submitting. If you have questions while completing this form, please call Provider Services at 800-991-9907 (TTY: 711).

Please note: Mount Carmel MediGold requires all initial credentialing and recredentialing be received through CAQH.