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Become a Member
Heartland Rural Physician Alliance invites independent and independent-minded physicians, clinic and hospital administrators, and other patient care providers to join our organization.
Annual membership fee per individual
Physician: $500 Healthcare Administrator: $250
Non-physician Healthcare Provider (PA, NP, ARNP, etc.): $250
A completed form must be submitted for each provider applying for membership.
Membership Application Type
Must select one option below.
Applicant Contact Information
Practice Information
Office or Practice Administrative Support Contact
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