Become an Amida Care Provider

Amida Care Community Figures 2

Provider Application

If you are a Primary Care Provider, please be sure to review the Primary Care Provider Criteria before completing the Application.

Ancillary/Facility Application

Amida Care participates in the Council for Affordable Quality Healthcare (CAQH) Universal Provider Datasource (UPD).

Developed by CAQH, the UPD is an online service that allows practitioners to complete one standardized information set to meet the credentialing needs of all participating health care organizations. Participating practitioners may update their application information at any time via the CAQH website.

Please call the Provider Services Department at
1-800-556-0674 if you have any questions.