For provider participation consideration, please complete the provider interest form, followed by emailing the following documents to email@example.com
*Current curriculum vitae or resume
A curriculum vitae or resume is required with identifying
All licenses must be current.
*Copies of all certifications/advanced credentials held.
All certifications and advanced credentials must be current with
governing body seal of approval.
*Certificate of malpractice insurance.
All providers must carrier a minimum of 1,000,000 to 3,000,000.
Capital City Community Services LLC providers are licensed and or certified by all governing international, national, and state boards.
Become a part of the Capital City Community Services LLC, provider network servicing international and national safety-sensitive, health professionals, and community individual needs.
Upon review of your completed application and requested documents, a member of our staff will contact you with the next step in the process. Please allow 60-days from the date of your submission for review. For all providers are carefully considered to ensure the best quality of care for our clients. As our primary goal is to Improve the community "1" individual at a time
Become a part of Capital City Community Services LLC mission to
Improving the community "1" individual at time!