How To Become A Member

2115 Leiter Road, Suite 400

Miamisburg, OH 45432

 

To contact us:

Phone: 937-384-6951

Fax: 937-384-6949

E-mail: Patrick.Kenrick@khnetwork.org

What requirements must be met before applying to be a member of PHA?

 

In order to become a member, you must have any level of privileges

(including temporary) at either Kettering Medical Center or Grandview Hospital or Greene Memorial Hospital.

 What steps must be taken to apply for membership?

Print and Fax or Mail the following to the PHA office:

 

· Signed Class A Agreement

· Physician Database Information Sheet:  Page 1Page 2

· Payment for the membership dues.  An invoice is included in the new member

      packet or you may print this one: PHA New Member Invoice.  A new member

      packet can be requested by calling or emailing the Executive Assistant.

 

Mailing Address:

    Physician Hospital Alliance
    2115 Leiter Road, Suite 400
    Miamisburg, OH  45342-3659

 

Fax Number:

    (937) 384-6949

 

What happens after I apply for membership and how will I know if I’ve been accepted?

· A PHA Board Meeting is held every three months where applications to the PHA

         are reviewed and approved.  These occur the first Friday in February, May,

         August and November.

· You will receive a letter welcoming you to the Physician Hospital Alliance after

         Board approval of your membership in PHA.  This will include a password that will

         allow you access to the PHA benefits and services on our website:

· If your office does not already have one, you will receive an Office Manual outlining

         your Physician Hospital Alliance benefits.

· You will automatically be enrolled in the managed care plans that are contracted

         with PHA.

· You will have access to the benefits of the group purchasing program.

· A Physician Referral Service Questionnaire will be faxed to your office manager.

         Your cooperation in completing this form will ensure that any information about

         your practice will be shared with the public with accuracy and according to your

         instructions.

 

 We look forward to working with you in the future.