At Summit Health, we are committed to providing excellent, affordable care to build a healthier and stronger community. The Provider Resources team is dedicated in assisting the organization with achieving excellence and helping you successfully complete the credentialing process.
Medical Staff Items
Provider Information Change
Form used to communicate any changes for provider
Provider Termination Form
Form used to communicate any termination from a group, facility/entity.
Hospital Affiliation Verification Letters
Medical Staff Dues
Note: Failure to submit any of the applicable required documentation will result in delay of your hospital credentialing and insurance enrollment.
Click the link below for required education (you must return the last page):
Click the link below, print, complete, and return the forms:
Emergency Medicine (Hospitalists - Neurologists)
Emergency Medicine (Hospitalists)
Radiation (Anyone using the Fluoroscope)
Surgical Staff (Anyone working in the Operating Room)
Summit Physician Services (Providers)
WH Medical Staff
Medical Staff Credentialing Team
Cumberland Valley Health Network (CVHN)
CVHN is a Physician Hospital Organization (PHO) that provides delegated credentialing services for several managed care companies. CVHN also represents the interest of its physician members by negotiating contract language for physician agreements with payors.
Provider Resources Department
Provider Resources Department credentials all medical staff professionals in compliance with the Pennsylvania Department of Health, the Joint Commission and other regulatory agencies. They provide administrative direction and support to the Medical Staffs of Summit Health, their organizations and their leadership.
Summit Health Credentials Verification Organization (SHCVO)
SHCVO oversees the credentialing and recredentialing process for all Summit Health physicians, allied health professionals, locum tenens, residents and students.
Provider Resources Department Directory
Maribeth Fish, MBA, CPCS, CPMSM
Manager, Provider Relations
Leah Barrett, BS, CPCS - Manager
Manager, Summit Health Credentials Verification Organization
Pam Hildabridle, LPN, CPCS
Medical Staff Services Representative
Provider Resources Coordinators
Provider Resources Specialist