Enroll with MERGE GPO

About MERGE:
MERGE is a healthcare GPO dedicated to saving your facility money through our partnership with Provista/Vizient and their comprehensive contract portfolio for medical facilities.
Enrollment is free with no cost or commitments to purchase. Complete the page below to sign up today!

MERGE GPO/Provista GPO Enrollment Form:

Enrollee First Name

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Facility Name

City

Number of Facilities Associated with Enrollment

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Primary Distributor

Distributor Rep

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I agree to the terms of the Participation Agreement

Complete Enrollment

Enrollee Last Name

Office Phone

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Street Address

State

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Distributor Account #

DEA #

Title / Position

Cell / Text Number

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Class of Trade

Zip-Code / Postal Code

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HIN (Health Industry Number)

Got Questions? We're here to help you!

Feel free to contact our team who is ready to assist you with your needs. We provide fast and comprehensive assistance to all of our members, no chatbots, no A.I., you can talk to a real person! You can find our contact information below:

Call us at: 888-443-0858 Email us at: support@mergegpo.com