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Provider Application Form

Home Provider Application Form

Please use the online form below (or the downloadable PDF) to complete your application for Provider positions only.  To go back to the employment page that has all open positions, click here.

Ampla Health is an Equal Opportunity Employer.

Contact Human Resources:
Telephone (530) 674-4261
Fax (530) 674-4164

Theresa Anaya, Human Resources Director
ext. 1159
tanaya@amplahealth.org

Lori Monahan, HR Assistant
ext. 1131
lmonahan@amplahealth.org

Karamjit Nijjar, HR Assistant
ext. 1122
knijjar@amplahealth.org

Jonathan Villarruel, HR Assistant
Ext 1219
jvillaruel@amplahealth.org

Teresa Thornton, Corporate Recruiter
ext. 1149
tthornton@amplahealth.org

Sukhjit Baraich, HR Analyst
ext. 1127
sbaraich@amplahealth.org

Shawna Smith, HR Specialist
ext. 1195
ssmith@amplahealth.org

Michela Franklin, Talent Acquisition Coordinator

ext. 530-434-7145

mfranklin@amplahealth.org

 

Download the full written application here or fill out the online form below

Download the application
Fill out my online form.
** Ampla Health accepts most insurance plans including Medi-Cal Managed Care options, California Health and Wellness and Anthem Blue Cross Partnership Plans, Medicare, and private pay. **
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935 Market Street, Yuba City, CA 95991 (530) 674-4261
Toll Free # 1-866-358-9791
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