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

arrow&v

Practice Information

arrow&v

Office or Practice Administrative Support Contact

Tax ID Number

© 2020 Heartland Rural Physician Alliance

2910 Westown Parkway, STE 302
West Des Moines, IA 50266

Tel: 515.440.4555