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To join the FirstCarolinaCare Insurance Company network, please complete the NC Uniform Application to Participate as a Health Care Practitioner. This form is available for download below.

To view and download the following form, you will need Adobe® Reader®. The free download is available at Adobe.com.

NC Uniform Application to Participate as a Health Care Practitioner

Submit completed applications to:

Provider Credentialing
FirstCarolinaCare Insurance Company
42 Memorial Drive, Ste 1
Pinehurst, NC 28374

If you have questions regarding the credentialing process, please contact Provider Relations toll-free at 1-800-574-8556.