Verification Lookup Portal
Providers for GLOBAL Hospital
AnMed Health
AnMed Health Cannon
Provider Last Name
Last name is required.
Provider First Name
_
Provider Birthdate
Birthdate is required.
Provider NPI
_
Required Information
_
_
_
Requester Name
Name is required.
Requester Title
Title is required.
Requester Organization
Organization is required.
Requester Address
_
Requester City, State, Zip
_
Requester Email
_
I agree and acknowledge that I possess a signed release and immunity statement signed by the practitioner for which I am obtaining hospital verification informaton. Such signed release and immunity holds harmless and indemnifies AnMed Health and individuals providing information pursuant to this request, its medical staff, board of directors and each of their respective members and designees, the administration of such AnMed Health and its directors, officers, employees, representatives and agents, and each of them from any and all claims, demands or actions with respect to all acts, including without limitation, communications, reports, recommendations, or disclosures performed or made in connection with the request for the release of information pertaining to the practitioner's hospital affiliation with AnMed Health.
Search
Provider Search
Please Enter the Following Information:
Facility
Provider Last Name
Provider Birthdate
Requester Name
Requester Title
Requester Organization