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Please Note:

This service, provided by Pride Mobility Products Corp., is to offer potential clients a listing of authorized Pride Providers who have sold and serviced Pride Products within the last year. Providers may be removed from the list in the event their Pride credit rating is revoked. The listing is sorted by geographic proximity, based on Postal ZIP Code and is not intended as an endorsement of any particular Provider.

If you would like your company added to the Pride "Locate a Retailer" listing please fill out the form below.
* Required field

Provider Locator Add/Update Form
 

 New Account  Additional Location to be Added
 Change of Address  Out of Business

 

* Contact Person
* Name of your company

* Pride
Account Number
Toll Free
Number
* Local Number
* Email Address


* Street Address
* City
* State
* Zip Code
 

Which of the following lines do you sell? (Check all that apply)
 Pride Products  Quantum Rehab  Silver Star Lifts and/or Ramps

 

Do you rent Pride Products? (Check all that apply)
 Powerchairs  Scooters  Liftchairs

 

Accreditations:

Full Service Provider  Yes  No
(Full service providers provide service for all Pride Mobility products in their coverage area)

NRRTS Certified  Yes  No
(The National Registry of Rehabilitation Technology Suppliers)

JCAHO Certified  Yes  No
(The Joint Commission, formerly the Joint Commission on Accreditation of Healthcare Organizations)

ACHC Certified  Yes  No
(Accreditation Commission for Health Care)

RESNA Certified  Yes  No
(Rehabilitation Engineering & Assistive Technology Society of North America)

CHAP Certified  Yes  No
(Community Health Accreditation Program)

Additional Notes:
Sales Rep Name:
 
Reminder:
All accounts must be in good credit standing and must have sales within the last year
to be eligible to be posted to the Provider Locator

 


Pride Mobility Products Corporation 1-800-800-8586
©1995-2006 Pride Mobility Products Corp. All rights reserved
.