Verification Lookup Portal
Providers for GLOBAL Hospital
Provider Last Name
Last name is required.
Provider First Name
First name is required.
Provider Birthdate
Birthdate is required.
Provider NPI
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Required Information
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Requester Name
Name is required.
Requester Title
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Requester Organization
Organization is required.
Requester Address
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Requester City, State, Zip
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Requester Phone
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Requester Fax
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Requester Email
Email is required.
I agree and acknowledge that I possess a signed release and immunity statement signed by the practitioner for which I am obtaining hospital verification informaton. Such signed release and immunity holds harmless and indemnifies Tanner Medical Center Inc and individuals providing information pursuant to this request, its medical staff, board of directors and each of their respective members and designees, the administration of such Tanner Medical Center Inc and its directors, officers, employees, representatives and agents, and each of them from any and all claims, demands or actions with respect to all acts, including without limitation, communications, reports, recommendations, or disclosures performed or made in connection with the request for the release of information pertaining to the practitioner's hospital affiliation with Tanner Medical Center Inc or Tanner Medical Center Alabama.
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Provider Search
Please Enter the Following Information:
Provider Last Name
Provider First Name
Provider Birthdate
Requester Name
Requester Organization
Requester Email