WTC Health Program – NPN Provider Enrollment
For Enrollment as a NPN Provider
Please fill out and sign the Provider Agreement below:
To view the Terms and Conditions for the WTC Health Program
Please click the button below:
Already have a Prime Health Services agreement with us?
Please fill out and sign the WTC Addendum below:
If you have signed up, but have not yet completed the EFT process, please click the button below:
To Learn More About The World Trade Center Health Program
If you have any questions or concerns regarding contracting, the best way to get up-to-date information is through our email or phone.
Phone: 1 (877) 703-6169