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Med-X Provider Enrollment

At Med-X, we recognize our success depends on the strengths of our local transportation providers. All providers must meet Med-X’s quality standards. All potential providers must under go our rigorous application and credentialing process. This allows Med-X to ensure our clients and patients the best non-emergency transportation network possible.

To become a Med-X network provider, transportation companies must meet our company’s high standards. To begin the application & credentialing process, please down load the application below and send it along with the following to Med-X at…

Med-X Medical transportation Network
PO Box 720
Matawan, NJ 07747
Attn: Provider Relations

Click here to send an email

Download a Provider Enrollment form in Microsoft Word or Adobe Acrobat format. 

Document Word Document PDF File
Provider Application v5
Sample Provider Agreement
Staff List staff list
Vehicle List Vehicle List
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