Welcome to the MISH Vendor/HealthCare Provider Portal

We look forward to working with you

Providing quality, patient-centered care is our mission at MISH Hospital and Clinics. Partnering with medical support staff who have the necessary qualifications and credentials to provide quality, safe, and responsible medical care is a vital support service. Outlined below is our Vendor and HealthCare Provider verification and education procedure.

Please complete all the steps outlined below:

Read - MISH notice of privacy practices
Read - MISH Patient Rights and services
Read – Vendor Training (Vendors ONLY)
Read - Healthcare Provider Training (HealthCare Providers ONLY)
Pay the Application Fee ( 225$). Call 913-730-1035 or Call 913-322-7408 (Ashley Fox) for payment arrangements (Vendors ONLY)
please fill out the following form to initiate the application request

Name

First Name

Last Name

Company/Manufacturer Name:

Phone

(###)

###

####

I am a : ( Vendor: usually a non-clinical healthcare industry representative selling/renting/operating patient care equipment and/or supplies. ----- Healthcare provider: Physical Therapist, Occupational Therapist, Respiratory Therapist, Perfusionist, Neurophysiologic Monitor, etc. that provide direct patient care.)

Vendor

Healthcare provider